Event
- Event ID
- 950
- Quality
- Description
The sodium chlorate production unit had restarted after a maintenance shutdown phase. The mercury cells had been under nitrogen flushing since the beginning of the shutdown to avoid the entrance of air (i.e. the prevention of the risk of the formation of an oxygen/hydrogen mixture).
Although the ARIA report does not mention it, the shutdown probably had been caused by a hydrogen leak signal.Around mid-day a new hydrogen leak was detected on the nozzle of a cell collector which had just been repaired. This detection stopped the nitrogen flushing, to allow maintenance to intervene safely (avoiding anoxia hazards). Two hours later, a large explosion occurred in the electrolysis room.
The emergency plan was started. Ten minutes later, the operators noticed that the electrolysis cells were still powered up, while the procedure for shutting down the unit foresaw the cutting off their power supply. They brought the unit to a safe state and drained the installation.
- Event Initiating system
- Classification of the physical effects
- Hydrogen Release and Ignition
- Nature of the consequences
- Macro-region
- Europe
- Country
- France
- Date
- Component involved
- electrolytic cell (header)
- Failure mode
- rupture & ignition
- Initiating cause
- unknown
- Root CAUSE analysis
The INITIATING CAUSE was a leak on one of the electrolyser's gas collector. When troubleshooting it, an un expected and undetected production and leak of hydrogen occurred.
A wrong reading of the voltage of the electrolytic cells appears to be at the basis of this incident. The internal investigation showed that the potentiometers of the electrolysis cells displayed zero intensity when the unit was switched off at the moment of the first shutdown. This explains why the shift operator did not switch off the power supply to the cells. When the unit was restarted approximately 2 hours later, the arrival of liquid in the cells still under voltage caused the production of hydrogen and oxygen. Later on, the nitrogen flushing of the cells was stopped for maintenance work, and the two production gases accumulated and mixed beyond the lower ignition limit.- Root causes
- Date entry in HIAD
- 01/01/2018
Facility
- Application
- Chemical industry
- Sub-application
- Chlorine production
- Hydrogen supply chain stage
- All components affected
electrolyser cell
- Process temperature range [C]
- Above ambient temperature (50°C to 100°C)
- Location type
- Confined
- Location
- industrial area
- Operational condition
- Pre-event occurrences
The plant was restarting after a previous emergency shutdown.
Emergency & Consequences
- Number of fatalities
- 0
- Number of injured persons
- 2
- Post-event summary
Two operators were evacuated; slightly injured in the ears, they were out-of-work for 5 days.
Material damage was noted in the electrolysis room: cell mats, collector rupture discs, fibrocement sheets on the roof and cladding, some of which were projected a few metres away, damaged pipes.
Lesson Learnt
- Lesson Learnt
The ARIA report (see references) does not mention any lesson learnt. While it reports that the asbestos-containing panels of the unit building were replaced, nothing is said on corrective actions. Also the reasons for the first shutdown, and its corrective actions remains unclear.
The failing of de-powering the electrolyser cells during the second shutdown reveal an inadequate operation procedures, and probably a lack of correct risk assessment. usually, this type of accidents are the occasion for a more realistic risk assessment, including a review of the safeguards performance. Nothing is said on this event.
In-depth data
- Release type
- gas
- Involved substances (% vol)
- H2 100%
- Release temperature [°C]
- 25
- Probable IGNITION SOURCE
- Explosion type
References
- Sources categories
- ARIA
- Reference & weblink
French database ARIA event no. 38488
https://www.aria.developpement-durable.gouv.fr/accident/38488/