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Clean Hydrogen Partnership

An explosion on a hydrogenation reactor of a pharmaceutical products plant

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)