On July 17, 2001, one worker was killed and eight others were injured when a spent sulfuric acid storage tank exploded at the Motiva Enterprises refinery in Delaware City, Delaware. The explosion occurred when a contractor crew was performing maintenance on the tank — specifically, when the tank cover was being removed.
The CSB investigation found that hydrogen gas had accumulated inside the spent sulfuric acid storage tank. Spent sulfuric acid from refinery alkylation operations can generate hydrogen gas through chemical reaction with iron sulfide and other contaminants in the acid. When the maintenance crew removed the tank cover, the hydrogen-air mixture inside the tank found an ignition source and exploded.
The investigation found multiple failures: contractors were not aware of the hydrogen accumulation hazard in spent acid tanks; the permit-to-work system did not require atmospheric testing for hydrogen before the tank cover was removed; and Motiva had not characterized the hydrogen generation potential of spent acid in its storage tanks as a process
This incident traced to breakdowns across 5 PSM elements (SOP · PSI · CON · MI · TRN). Each represents a documented gap that process safety documentation and consulting can close before a similar event occurs at your facility.