Event
- Event ID
- 85
- Quality
- Description
A jet flame occurred in a diesel distillation unit.
It was caused by the release and ignition of hydrogen from the low-pressure (60 bar) section of a the unit. It occurred during maintenance works aiming at replacing the temporary seals with definitive ones, after which the discharge valve would have been re-opened and the compressor re-started.The unit was depressurised and the emergency status was called.
- Event Initiating system
- Classification of the physical effects
- Hydrogen Release and Ignition
- Nature of the consequences
- fire
- Macro-region
- Europe
- Country
- France
- Date
- Component involved
- valve (gasket)
- Failure mode
- erroneous release & ignition
- Initiating cause
- malfunctioning (electrical/electronic component)
- Root CAUSE analysis
The INITIATING cause was the fact that the discharge valve was not completely closed even though the panel control indicated that it was entirely closed.
The ROOT CAUSE could be attributed to a wrong design, which did not considered the possibility of a wrong signal on a critical component for safety.- Root causes
- Date entry in HIAD
- 28/02/2009
Facility
- Application
- Petrochemical industry
- Sub-application
- diesel distillation unit
- Hydrogen supply chain stage
- All components affected
Gasoil distillation unit , seals
- Location type
- Unknown
- Location
- industrial area
- Operational condition
- Pre-event occurrences
Maintenance works were ongoing on the compressor on recycled gas circuit. Temporary seals had to be replaced by definitive seals.
Emergency & Consequences
- Number of fatalities
- 0
- Number of injured persons
- 0
- Official legal action
The independent inspection required a root cause analysis and a detailed examination of the tightness of the automatic valve.
- Emergency action
Rescue units were on site but they did not make an attempt to extinguish the fire to avoid the formation of a hydrogen cloud. The affected unit was depressurised. After 50 minute the leak was closed and the fire extinguished. Shortly afterward the alarm was terminated.
Lesson Learnt
- Corrective Measures
The plant operator modified the system controlling the opening of the affected valve during the maintenance works.
In-depth data
- Release type
- gas
- Involved substances (% vol)
- H2 100%
- Probable IGNITION SOURCE
References
- Sources categories
- ARIA
- Reference & weblink
Event 33030 in the French database ARIA
https://www.aria.developpement-durable.gouv.fr/accident/33030/
(accessed October 2020)