Event
- Event ID
- 979
- Quality
- Description
A 1-metre high flame developed on a pipe at the inlet of the hydrodesulphurisation unit of a refinery. The fire was caused by the leak of the pipe content, consisting of hydrogen and diesel.
The fire was spotted visually and was located 25 m above the ground. The personnel was evacuated. The operator did not extinguish the flame to avoid the risk to generate a hydrogen cloud.
The unit was gradually shut down with decompression to a site flare. The gas contained in the unit, feeding the leak, was progressively replaced by nitrogen. A preventive foam mat was put in place under the reactor to protect against a possible ground pool fire.- 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
- flange (gasket)
- Failure mode
- rupture & ignition
- Initiating cause
- material degradation (over-stress)
- Root CAUSE analysis
The INITIATING CAUSE was a leak on a bolted flange, and specifically the sealing gasket.
During the work of replacing the flanges, the operator observed the good flatness of the flanges but a deformation of the gasket. This deformation could have occurred due to the over-tightening of the flange during the last maintenance shutdown.
Moreover, at the time of the event, the desulphurisation unit was arriving at the end of the production cycle. A replacement of the catalyst had been planned at 1 month after the event. According to the operator, the loss of catalytic activity at the end of the cycle was compensated by an increase in the reaction temperature. This temperature increase, combined with the over-tightening of the flange, would be the cause of the leak.
Therefore, the ROOT CAUSE could be attributed to installation error, and/or to a human error. A possible shortcoming of the procedural instructions cannot be excluded.- Root causes
- Date entry in HIAD
- 01/01/2024
Facility
- Application
- Petrochemical industry
- Sub-application
- Hydrodesulphurisation process
- Hydrogen supply chain stage
- All components affected
hydrodesulphurisation unit, pipe
- Process temperature range [C]
- High temperature (100°C to 500°C)
- Process pressure range [MPa]
- medium to high pressure (10 to 50 MPa)
- Location type
- Open
- Location
- industrial area
- Operational condition
- Pre-event occurrences
At the time of the event, the desulfurisation unit was at the end of its cycle with a replacement of the catalyst initially planned 1 month after the event.
Due to the normal losses in catalytic activity at the end of the cycle, the reaction temperature was usually increased i nespect to the prescribed value att the star tof the cycle.
Emergency & Consequences
- Number of fatalities
- 0
- Number of injured persons
- 0
- Emergency action
The personnel was evacuated and a emergency operation room was installed.
The operator did not extinguish the flame in order not to generate a hydrogen cloud, which is highly explosive.
The unit was gradually shut down with decompression to a site flare. The gas contained in the unit, feeding the leak, was progressively replaced by nitrogen. A preventive foam mat was put in place under the reactor to protect against a possible ground pool fire
Lesson Learnt
- Corrective Measures
After the fire, new bolts were used on the flange that leaked, and a controlled and incremental tightening of the assembly was executed throughout the restart of the unit.
In-depth data
- Release type
- Gas-liquid mixture
- Involved substances (% vol)
- H2,
diesel - Probable IGNITION SOURCE
- Flame type
References
- Sources categories
- ARIA
- Reference & weblink
Event description no. 53363 in the French database ARIA
https://www.aria.developpement-durable.gouv.fr/accident/53363_en/?lang=…
(accessed October 2021)