• Safety Alerts

  Fatality occurred from using an incorrect specification of sample tube

  Posted by Sarah on 16 September 2020 at 9:26 am

  This safety alert highlights the risk of misleading gas detection readings associated with the use of sampling tubes with pumped gas detectors. Sampling tubes are sometimes used to extend the reach of the detection device and/or to allow detection at an increased distance from the user.

  In a recent incident a gas detector failed to detect the presence of a flammable vapour. Hot work proceeded in the belief that there was no flammable vapour present. The subsequent explosion resulted in a fatal injury.

  The investigation found that a significant contributor to the failure to detect the flammable vapour was it being adsorbed on the inner surface of the sample tube. This meant that no flammable vapour reached the detector before the test was completed and a false conclusion that the work area was free of flammable vapour.

  This incident has highlighted the importance of selecting the correct systems for gas detection and verifying the effectiveness of the detection system.

  The Health and Safety Executive investigation found that:

  • The gas detector involved in the incident performed in accordance with the manufacturer’s specification.
  • The manufacturer’s technical performance information reported that it was not suitable for the detection of the substance to be measured. The detector was being used for a substance other than its calibration gas but had not been configured to include a correction factor. Each of these issues would have resulted in an incorrect reading. On this occasion, if these had been the only faults the reading would still have been sufficient to result in a decision not to proceed with the hot work.
  • The most significant contributor to the failure was the adsorption of the substance of interest on the inner surface of the sample tube. During laboratory testing of the gas detector and at a concentration of 50%LEL (lower explosion limit) of the substance involved, the sample tube extended the time to achieve a non-zero reading by more than 1 minute. This extension was considerably longer than the time taken to test at any particular location with a recommended sample tube fitted. At 50%LEL of the substance involved, the time to achieve 90% of the final reading was over 15 minutes.
  • The same gas detector and sample tube had a response time of less than 5 seconds to the calibration gas (methane).
  • The phenomenon of adsorption of some substances on sample tubes is known. It is mentioned in each of the references to this safety alert and has been studied in previous HSE research (eg Research Report RR635).

  Additional Findings:

  • Review of manuals for gas detectors from a range of manufacturers has identified that most manuals include little or no information on the importance of selecting a sample system of a suitable material.
  • While the incident to which this safety alert refers involved a highly flammable substance and measurement of LEL, similar issues may apply to some other gases, particularly reactive gases such as H2S and NOx.

  Recommended Actions:

  • Operating instructions for most gas detectors recommend a function check (often referred to as a ‘bump test’) before each day’s use. This is additional to the requirement for periodic calibration. It is recommended in the case of gas detectors that will be used with a sample tube, at least the first function check (‘bump test’) for a new intended use and/or a new sampling configuration be conducted using the combination of the gas detector and its sample tube and the substance of interest, where practicable. This is of particular importance if the substance of interest is not the substance used to calibrate.
  • For example, the head space in a sample jar containing a liquid sample of the substance of interest at a temperature above its flashpoint would be expected to give an output representing greater than 100%LEL.
  • Sample tubes should be as short as possible. The increase in response time should not exceed the response time of the gas detector without a sample tube plus the delay time specified in the gas detector manual or, where no time is specified in the manual, 3 seconds per metre (eg BS EN 60079-29-1:2016, section 5.4.15). The combination of gas detector and sample tube should be considered unsuitable where this time is exceeded.
  • Particularly for spot testing, users should be aware of the response time of the combination of the gas detector and its sample tube.

  The photograph of the sampling tubes are not the manufacturer of the tubes in this incident.

  

  Sarah replied 3 years, 7 months ago 1 Member · 0 Replies
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