Event
- Event ID
- 289
- Quality
- Description
A hydrogen explosion occurred in a 5-tonne stainless steel pressure vessel, while two electro-polisher workers where electropolishing internal surfaces. The reason of the explosion was possibly the build-up a hydrogen - oxygen mixture within the vessel of, generated by the electropolishing process.
The vessel laid horizontally with the only one unsealed opening: a man-way in the front-end site. There were no measure aiming at evacuating the gasses generated within vessel, and/or at avoiding sources of ignition. Significant quantities of hydrogen were likely generated due to the attempt to electropolishing the vessel using large cathode / anode area and high energy input. The vessel was approximately half full with concentrated (sulphuric / phosphoric) acid.The explosion resulted in injuries, a fatality and in the ejection of a substantial quantities of the acid.
- Event Initiating system
- Classification of the physical effects
- Hydrogen Release and Ignition
- Nature of the consequences
- Macro-region
- Europe
- Country
- United Kingdom
- Date
- Component involved
- chemical storage tank
- Failure mode
- internal explosion
- Initiating cause
- accidental hydrogen formation
- Root CAUSE analysis
The INITIATING cause was the accidental production of a hydrogen-oxygen mixture while electroplating.
A CONTRIBUTING CAUSE was that this was the first such job undertaken by those injured, inexperience and failure to identify risk played a roleThe ROOT CAUSE is management shortcoming. Industrial standard were available but not applied. The workers had not knowledge of the hazards involved and there was no mitigating/preventive measure.
- Root causes
- Date entry in HIAD
- 28/02/2009
Facility
- Application
- Unknown
- Sub-application
- unknown
- Hydrogen supply chain stage
- All components affected
Pressure vessel for chemical storage
- Process temperature range [C]
- ambient temperature (-50°C to +50°C)
- Process pressure range [MPa]
- ambient pressure (around 0.1 MPa)
- Location type
- Confined
- Location
- industrial area
- Operational condition
- Pre-event occurrences
Maintenance works (electropolishing) were ongoing.
Emergency & Consequences
- Number of fatalities
- 1
- Number of injured persons
- 1
- Post-event summary
The explosion resulted in one injured and one fatality and in the ejection of a substantial quantities of the acid.
- Official legal action
The event was investigated by HSE UK.
- Investigation comments
The following comments were recorded by the inspector:
Industry standard for treatment of such vessels appears to be to:1) Electro-polish end caps prior to assembly and then to electro-polish internal circumference with the vessel continually rotated on powered rollers and with a cathode hung from centres into a small volume of electrolyte in the base of the vessel
2) Evacuate generated gases by feeding air into vessel and / or providing extraction.
Vessel involved in accident was first such job undertaken by those injured - inexperience and failure to identify risk are considered to be the main underlying causes.
- Emergency action
No attempt to avoid sources of ignition or to evacuate gasses generated within vessel. The vessel was laid horizontally with the only unsealed opening being a man way in the front end face.
Lesson Learnt
- Lesson Learnt
It was the first time that the workers executed the process which brought to the incident. Inexperience and failure to identify risk are considered to be the main underlying causes. There were standard practice in place. The industry standard for treatment of such vessels appears to be to:
1) electropolishing end caps prior to assembly and then to electropolishing internal circumference with the vessel continually rotated on powered rollers and with a cathode hung from centres into a small volume of electrolyte in the base of the vessel
2) evacuate generated gases by feeding air into vessel and / or providing extraction.
None of these steps were undertaken and no preventing measure was put in place.
In-depth data
- Release type
- gas
- Involved substances (% vol)
- H2 100%
- Probable IGNITION SOURCE
- Explosion type
- Detonation
References
- Sources categories
- HSE
- Reference & weblink
Event description provided by HSE, original source confidential