Event
- Event ID
- 252
- Quality
- Description
The explosion occurred while starting up for the first time a hydrogenation reactor.
The reactor was being commissioned, by performing tightness tests under hydrogen atmosphere at very high pressure. The rupture of one of the seals caused a hydrogen release followed by the auto ignition of a 30 litre air/hydrogen mixture. Five employees were injured. Material damage was confined to the immediate perimeter of the reactor. The hydrogen detectors controlling the closing of the H2 supply valve had not yet been installed. Nevertheless, their absence was not critical thanks to the prompt reaction taken by employees. The preliminary tests carried out under nitrogen were insufficient.- Event Initiating system
- Classification of the physical effects
- Hydrogen Release and Ignition
- Nature of the consequences
- Macro-region
- Europe
- Country
- France
- Date
- Component involved
- flange (gasket)
- Failure mode
- leak & ignition
- Initiating cause
- wrong operation
- Root CAUSE analysis
The INITIATING cause was the failing of a seal under hydrogen pressure during a tightness test. The root cause was the ill-designed or ill-performed commissioning procedure. The previous tightness under nitrogen were performed or designed in a way that did not identify the release event which occurred under hydrogen. The cause classification could be shortcoming in operation.
- Root causes
- Date entry in HIAD
- 28/02/2009
Facility
- Application
- Chemical industry
- Sub-application
- Pharmaceutical production
- Hydrogen supply chain stage
- All components affected
Hydrogenation reactor, seals
- Location type
- Confined
- Location
- industrial area
- Operational condition
- Pre-event occurrences
The reactor had been installed for the first time, and the incident occurred during the commissioning tests.
Emergency & Consequences
- Number of fatalities
- 0
- Number of injured persons
- 5
- Post-event summary
Five employees experienced burns, suffered from ear pain due to the overpressure and were hospitalised. Among them, two employees were hospitalised for over 48 hours (humming sound in the ears).
Material damage was limited to the area around the reactor.- Emergency action
The hydrogen detectors controlling the closing of the H2 supply valve had not yet been installed. Nevertheless, their absence was not critical thanks to the prompt reaction taken by employees.
Lesson Learnt
- Lesson Learnt
As a rule, tightness tests have to performed with non-flammable gas, but have as well to consider the difference in behaviour between the gases. Helium could be a better replacement for hydrogen than nitrogen, it is however more expensive.
In-depth data
- Release type
- gas
- Involved substances (% vol)
- H2 100%
- Probable IGNITION SOURCE
- Explosion type
References
- Sources categories
- ARIA
- Reference & weblink
Event description in the French database ARIA
https://www.aria.developpement-durable.gouv.fr/accident/7518
(accessed October 2020)