Event
- Event ID
- 1045
- Quality
- Description
- The vessel affected by the incident was a gas storage used for the hydro-desulphurisation process. The desulphurisation gas had high hydrogen content. The vessels 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
- Main component involved?
- Gas Storagel Tank (Weld)
- How was it involved?
- Rupture & Formation Of A Flammable H2-Air Mixture
- Initiating cause
- Material Degradation (Over-Stress)
- Root causes
- 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.
Facility
- Application
- Petrochemical Industry
- Sub-application
- Hydrodesulphurisation process
- Hydrogen supply chain stage
- Hydrogen Storage (No additional details provided)
- All components affected
- hydrogen tank, pump building
- Location type
- Semiconfined
- Location description
- Industrial Area
- Operational condition
Emergency & Consequences
- Number of injured persons
- 6
- Number of fatalities
- 3
- Currency
- Euro
- Property loss (onsite)
- 100000000
- 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.
Event Nature
- Release type
- gas mixture
- Involved substances (% vol)
- H2,
H2S (impurities) - Presumed ignition source
- Not reported
References
- Reference & weblink
Investigation report available at safehoo<br />
http://www.safehoo.com/Case/Case/Container/202104/5636635.shtml<br />
(accessed May 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