Event
- Event ID
- 730
- Quality
- Description
The event occurred at the flanges on the outlet of a desulphurisation reactor, which was working at about 300 degrees C. The flanges and bolts were cooled down by a large amount of rainwater which had got into the rain-cover around the flanges.
This caused the material to shrink and made the flanges too tight, putting too much stress on the ring gaskets which deformed and damaged.
As a result, hydrogen gas and light oil mist leaked out and ignited spontaneously, causing damage to pressure gauges and insulation of pipes.- Event Initiating system
- Classification of the physical effects
- Hydrogen Release and Ignition
- Nature of the consequences
- fire
- Macro-region
- Asia
- Country
- Japan
- Date
- Component involved
- valve (gasket)
- Failure mode
- leak & ignition
- Initiating cause
- material degradation (thermal stress/cycling)
- Root CAUSE analysis
INITIATING cause was a too high thermo-mechanical stress on flange of a reactor, due thermal gradient induced by rain water.
Possible ROOT CAUSES could be an inadequate risk assessment or safety design, and inadequate operative processes, which failed to protect the installation from rain.
- Root causes
- Date entry in HIAD
- 01/01/2020
Facility
- Application
- Petrochemical industry
- Sub-application
- Hydrodesulphurisation process
- Hydrogen supply chain stage
- All components affected
hydro-desulphurization unit, flanges and gaskets
- Process temperature range [C]
- High temperature (100°C to 500°C)
- Location type
- Unknown
- Location
- industrial area
- Operational condition
- Pre-event occurrences
The operative condition were as usual, but there was a heavy rain several hours before the accident, and a large quantity of rainwater flowed in between the rain cover and the heat-insulating sheet metal.
Emergency & Consequences
- Number of fatalities
- 0
- Number of injured persons
- 0
- Currency
- Yen
- Property loss (onsite)
- 100.000
- Post-event summary
A pressure gage and piping heat insulation were damaged by fire.
- Emergency action
The fire was extinguished by company's own fire fighters.
Lesson Learnt
- Lesson Learnt
There are many cases where insufficient attention is paid to the specific locations of each valve, and its possible lifetime damage patterns. It is only after that an incident took place, that plant management realises the inadequacy of installations.
- Corrective Measures
1. Measures to prevent rainwater from flowing around the flange shall be taken.
2. Similar parts of the plant shall be checked as well, and countermeasures should be taken.
3. The procedure of flange tightening force shall be reviewed.
In-depth data
- Release type
- aerosol
- Involved substances (% vol)
- H2,
light oil - Release temperature [°C]
- 300
- Probable IGNITION SOURCE
References
- Sources categories
- JST
- Reference & weblink
Originally in RISCAD. Now in the JST Knowledge Failure Database:
https://www.shippai.org/fkd/en/cfen/CC1200030.html
(accessed Dec 2023)