Event
- Event ID
- 220
- Quality
- Description
- During functional tests of the system, a major quantity of hydrogen-containing gas was released from an adsorber, followed by its ignition.
After the alarm was released the feed of the adsorber was closed, while the sprinkling system was activated by the high temperatures arising from the fire.
The cause of this event was an assembly error, which caused the failure of a gasket (comb-shaped) at the head flange of the adsorber. - 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
- Germany
- Date
- Main component involved?
- Flange (Gasket)
- How was it involved?
- Leak & Formation Of A Flammable H2-Air Mixture
- Initiating cause
- Wrong Installation
- Root causes
- Root CAUSE analysis
- The INITIATING CAUSE was an assembly error, which Caused the failure of a gasket It was due to human error during repair works.
ROOT CAUSE was reported as installation procedure. As in many of these cases, inadequate instructions or procedures could have been a contributing factor.
Facility
- Application
- Chemical Industry
- Sub-application
- industrial gases production plant
- Hydrogen supply chain stage
- All components affected
- adsorber, gasket, head-flange of adsorber
- Location type
- Unknown
- Location description
- Industrial Area
- Operational condition
- Pre-event occurrences
- The event occurred during the execution of complex functional tests.
Emergency & Consequences
- Number of injured persons
- 1
- Number of fatalities
- 0
- Post-event summary
- Material damage for ca. 25 000 EURO and one person who suffered minor injuries.
- Emergency action
- Fire-brigades from two different sites intervened, in one hour the fire was under control.
Lesson Learnt
- Corrective Measures
The plant operator modified the sealing system (cantering).
Although the reports do not tackle the aspect of the human error, the measure akin was probably adopted to avoid any further assembly error.
Event Nature
- Release type
- gas
- Involved substances (% vol)
- H2 100%
- Presumed ignition source
- Not reported
- Flame type
- Jet flame
References
- Reference & weblink
Event description in European database eMARS<br />
https://emars.jrc.ec.europa.eu/en/eMARS/accident/view/abc44c21-1088-a3c… />
(accessed September 2020)Event description in French database ARIA<br />
https://www.aria.developpement-durable.gouv.fr/accident/19490/<br />
(accessed September 2020)Event from German database ZEMA<br />
https://www.infosis.uba.de/index.php/de/site/12981/zema/index/3015.html… />
(accessed December 2023)
JRC assessment
- Sources categories
- eMARS