Event
- Event ID
- 1042
- Quality
- Description
- The incident occurred in a catalytic reforming unit. At 13:41, a leak occurred at the 90° elbow of a pressure pipe containing a mixture of hydrogen and naphtha. This pipe was located between the pre-hydrogenation heat exchanger and the pre-hydrogenation product tower heat exchanger. The flammable material leaking from the pipe burst into flames, and at 13:51 and 14:21 there were two more explosive combustions.
Some of the nearby towers, pipelines and other equipment and facilities affected by the following high temperature flames continued to burn, with varying degrees of damage or rupture and leakage of combustible materials. The intensified combustions and fire triggered two subsequent deflagrations, 10 minutes and 40 minutes later respectively, after the first explosions. - Event Initiating system
- Classification of the physical effects
- Hydrogen Release and Ignition
- Nature of the consequences
- Macro-region
- Asia
- Country
- China
- Date
- Main component involved?
- Pipe (Bend)
- How was it involved?
- Rupture & Formation Of A Flammable H2-Hc-Air Mixture
- Initiating cause
- Material Degradation (External Corrosion)
- Root causes
- Root CAUSE analysis
- The INITIATING CAUSE of the pipe rupture was internal corrosion. The wall thickness of the pressure pipe 90 ° elbow had become thinner and ruptured under an internal pressure of 0.2 MPa with an opening of about 950mm × 620mm. The hydrogen gas mixture ejected to form an explosive mixture. The friction between the ejected gas and the pipeline generated electrostatic sparks, which triggered a fire.
Regarding the root technical causes, the affected pipeline was continuously in an acidic environment. The company was not monitoring and analysing the acidic water in the pre-hydrogenation tank. The continued recycling of this acidic water led to increasing concentrations of H2S, HCl and NH3 and intensified the corrosion of the pipeline.
A contributing cause was the temperature of the pipeline. The operating temperature of the affected pipe was supposed to be 150°C, and the design temperature was 170°C. However, the actual operating temperature of the pipeline at the time of the accident was about 180°C, and this accelerated the corrosion process.
The ROOT CAUSE could be tentatively attributed to incapacity to control process parameter to avoid operating beyond the design values. The investigation found also organisation causes in the failing of implementing preventive safety measures (see lessons learnt).
Facility
- Application
- Petrochemical Industry
- Sub-application
- catalytic reforming process
- Hydrogen supply chain stage
- All components affected
- process gas pipe,
heat exchangers,
naphta reforming unit - Location type
- Unknown
- Location description
- Industrial Area
- Operational condition
Emergency & Consequences
- Number of injured persons
- 0
- Number of fatalities
- 0
- Post-event summary
- The accident caused different degrees of damage to buildings, equipment and facilities in the pre-hydrogenation unit, reforming unit and product refining and separation unit of the catalytic reformer with no casualties.
Lesson Learnt
- Lesson Learnt
- The investigation revealed sever shortcoming in the definition and execution of safety measures for the site:
(1) The safety management system of special equipment was not implemented, in particular the part related to corrosion monitoring and prevention. The operator did not execute the annual thickness measurement procedures. Also, they did not realise that measurements performed previously by an external inspection were demanding corrective actions.
(2) The procedures for the analysis of acid water quality were not well designed and not implemented.
(3) The pressure pipeline were not respecting the requirements of the more recent regulations, and therefore, de facto, illegal.
(4) The operator did not perform the regular (annual) inspection of all the special equipment on site.
Event Nature
- Release type
- gas mixture
- Involved substances (% vol)
- H2,
Naphta - Actual pressure (MPa)
- 0.2
- Hole length (mm)
- 950mm
- Hole width (mm)
- 620mm
- Presumed ignition source
- Static electricity
References
- Reference & weblink
Investigation report available at <br />
http://www.zhuhai.gov.cn/yjgl/gkmlpt/content/2/2608/mpost_2608730.html?… <br />
(last retrieved 20.02.2023)B.Wang et al., Hydrogen related accidents and lesson learned from events reported in the<br />
in east continental Asia,#2023, ICHS-2023
JRC assessment
- Sources categories
- Investigation report