Lessons Learned

When incidents or near-misses occur, an institution should share any lessons learned so that future incidents or near misses can be prevented.

Incident investigation should include determination of the root causes and the development of lessons learned. Subject matter experts, safety professionals, peers, and managers should be involved in this "no-blame" process.

A mitigation plan should be developed to address the root cause(s) in order to prevent future accidents. Maintenance frequencies may need to be increased to identify potential incidents before they occur.

Incident reports should be widely disseminated to foster and maximize organizational learning.

Hydrogen safety incidents and near misses should be reported in the U.S. Department of Energy's Hydrogen Safety Incident Reporting Database at H2Incidents.org. Please share your incidents and near misses with others who are working with hydrogen so they can benefit from your experiences. All incident reports will be "sanitized" to ensure that individuals and organizations are not identified.