Fire on the hydrodesulphurisation unit of a refinery

A major leak occurred at the outlet of the diesel hydrodesulphurisation furnace in a refinery. The furnace was just restarting. The released gaseous product ignited, and the alarms of the temperature sensors at the oven outlet were triggered.
8 minutes later the operator shut down the hydrogen compressors and the diesel charging pumps, closed the supply valves and called the emergency status.
The internal emergency services were able to bring the situation under control, by depressurising the unit and letting the fire terminate due to lack of fuel.
The emergency plan was terminated 5 hours later and the fire gradually extinguished one hour later.

The leak occurred at the joint of a flange of the piping at the furnace outlet. This connection was not provided by evidence of controlled tightening or formal verification. Moreover, many successive shutdowns had already occurred, the last 4 the day before the event. The day before at a small leak had already been observed, but no LEL measurement had been taken, and it was decided to continue the start-up procedure.

Poor inspection processes and wrong assumption of the severity of the initial leak are CONTRIBUTING orROOT CAUSES. The failure to act on clear signal of malfuntioning provided by the previous mear misses (multiple shutdown, small leak detection) suggests a lack of proper risk assessment and mistaken management decisions.

furnace, outlet flange

Several successive shutdowns had already occurred, the last 4 the day before the event. The day before at a small leak had already been observed, but no LEL measurement had been taken, and it was decided to continue the start-up procedure.

The unit was shut down for more than 35 days to allow for repair work. The material damage on the site was located within a radius of ten meters around the leak point.
The quantity of ignited product was 18 t, with an emission of 173 kg of SO2.