Event
- Event ID
- 91
- Quality
- Description
- The event occurred while re-starting the ammonia production unit after a technical stop, a synthesis gas (50% hydrogen, 17% ammonia, methane and nitrogen) leak ignited on a flange located just after the synthesis reactor.
Emergency shutdown of the unit was executed and the fire was extinguished in a bit less than 1 hour.
The leaking at the flange was caused by a tightening torques of the bolt which were not adapted to the exceptional conditions prevailing during the accident. The short technical breakdown had induced a very quick temperature evolution with significant temperature gradients between the bolts and the flange. - Event Initiating system
- Classification of the physical effects
- Hydrogen Release and Ignition
- Nature of the consequences
- Fire (No additional details provided)
- Macro-region
- Europe
- Country
- France
- Date
- Main component involved?
- Flange (Bolts)
- How was it involved?
- Leak & Formation Of A Flammable H2-Nh3-Air Mixture
- Initiating cause
- Loss Of Tightness (Thermal Stress/Cycling)
- Root causes
- Root CAUSE analysis
- The INITIATING CAUSE was loss of tightness of the flange due to the temperature gradient occurred during the technical shutdown. flange were not adapted to the situation.
The ROOT CAUSE (or at least an intermediate cause) is related to the fact that these temperature excursions had not been taken into account in the design of the reactor. Assuming that the operation of tightening had been executed by a contractor during the last inspection and maintenance works, another factor of the ROOT CAUSE could be the management of the contractor's operation by the site operator.
Facility
- Application
- Chemical Industry
- Sub-application
- Ammonia production
- Hydrogen supply chain stage
- All components affected
- flange
- Location type
- Unknown
- Location description
- Industrial Area
- Operational condition
- Pre-event occurrences
- The ammonia producing unit had to be shut down rapidly due to a technical issue. At the moment of the re-start, the reactor had been shut down for 1h30.
Emergency & Consequences
- Number of injured persons
- 0
- Number of fatalities
- 0
- Currency
- Euro
- Property loss (onsite)
- 360000
- Post-event summary
- The material damage was estimated at 60 K Euros and concerned the thermal insulation of pipes, louvers protecting the reactor against atmospheric action, fire-proof concrete of the reactor frame and the instrumentation cables within a radius of 3 m. The blaze did not damage the reactor that was protected by a deflector. Operating losses stood at 300 k Euros.
- Emergency action
- unknown, probably none
Lesson Learnt
- Corrective Measures
The following was implemented as corrective measures from the lesson learnt :
i) modification of tightening torque.
ii) improvement of leak collector on flange.
iii) nitrogen injection system in leak collector
iv) installation of vapour injectors to protect the reactor.
Event Nature
- Release type
- gas mixture
- Involved substances (% vol)
- H2 50%,
NH3 17%,
CH4,
N2 - Presumed ignition source
- Not reported
- Flame type
- Flash fire
References
- Reference & weblink
Event description in French database ARIA<br />
https://www.aria.developpement-durable.gouv.fr/accident/32174/<br />
(accessed September 2020)Also uptaken from ARIA by US database H2TOOLS<br />
https://h2tools.org/lessons/ignition-syngas-leak-ammonia-production-pla… />
(accessed Sept 2025)
JRC assessment
- Sources categories
- ARIA