Event
- Event ID
- 1045
- Quality
- Description
The vessel affected by the incident was a pressurised heat exchanger vessel of the hydrodesulphurisation process. The desulphurisation gas had high hydrogen content. The vessel had cracks in the upper transverse fillet welds at the gas inlet which caused low stress brittle fractures. The cracks had been found during the maintenance, but not fixed. This eventually caused a gas release.
Approximately 2.5 hours after that a leak was detected and reported, a first explosion occurred. As the heat exchanger explosion was facing the desulphurisation pump room, the leaking gas gathered in the pump room, under the effect of the first explosion flame. 7 seconds later, a secondary explosion occurred in the desulphurisation pump room, resulting in 3 deaths. Due to the impact of debris from the first explosion and the high temperature of the open flame, a third explosion occurred in another cracked pressure pipe.- Event Initiating system
- Classification of the physical effects
- Hydrogen Release and Ignition
- Nature of the consequences
- Macro-region
- Asia
- Country
- China
- Date
- Component involved
- chemical storage tank (gases)
- Failure mode
- rupture & ignition
- Initiating cause
- material degradation (over-stress)
- Root CAUSE analysis
the INITIATING CAUSE was corrosion of a welded joint, with a low brittle fracture resistance. One of the root CAUSES was a lack of maintenance and repair. Another could be attributed to lack of risk management and safety culture. The existence of the crack was known, but no action had been taken.
- Root causes
- Date entry in HIAD
- 01/07/2024
Facility
- Application
- Petrochemical industry
- Sub-application
- Hydrodesulphurisation process
- Hydrogen supply chain stage
- All components affected
hydrogen tank, pump building
- Process temperature range [C]
- Above ambient temperature (50°C to 100°C)
- Process pressure range [MPa]
- medium to high pressure (10 to 50 MPa)
- Location type
- Semiconfined
- Location
- industrial area
- Operational condition
Emergency & Consequences
- Number of fatalities
- 3
- Number of injured persons
- 6
- Currency
- Euro
- Property loss (onsite)
- 100.000.000
- Post-event summary
three fatalities, six injured persons, and a direct economic loss of 100 million Euros.
Lesson Learnt
- Lesson Learnt
The cracks had been found during the maintenance, but not fixed. The reasons for omitting to take action are unknown.
The company will have to review inspection/maintenance/repair procedures including assessment of risks from damage and ageing effects, to avoid that a near miss evolve in an incident.
In-depth data
- Release type
- gas mixture
- Involved substances (% vol)
- H2,
H2S (impurities) - Release temperature [°C]
- 25
- Probable IGNITION SOURCE
- Explosion type
References
- Sources categories
- Investigation report
- Reference & weblink
Investigation report available at safehoo
http://www.safehoo.com/Case/Case/Container/202104/5636635.shtml
(accessed May 2023)B.Wang et al., Hydrogen related accidents and lesson learned from events reported in the
in east continental Asia,#2023, ICHS-2023