The accident commission board stated that there were five important issues.
The first one, was that the accident could be classified
as a manmade disaster.
There was an ineffective coordination and a lack of leadership
due to the collision between the government, the regulator and TEPCO.
The organization and the regulatory systems didn’t support
issues related to the competency of any of the specific individuals.
Also, the document stated that TEPCO
was quick in denial of the earthquake damage,
putting all the blame on the tsunami.
When they did not demonstrate that the earthquake affected
the safety systems.
Also, there were many organizational issues within TEPCO.
Their personnel was not ready for a situation like that,
there was not the highest level of knowledge,
and the training and the equipment level, or inspection level,
related to severe accidents was not appropriate.
The regulator was also blamed by the commission.
The regulator was pointed out because they were saying
that their safety level was not good enough.
And the entire entity had to change in a substantial way.
Especially because they were ignoring all the international standards
related to safety,
as part of their culture of distrusting everything coming from abroad.
On the same track, it needed to reform the operator, laws, and regulations,
and not do just cosmetic changes.
All those changes should lead to an alignment
with the international safety regulations, standards,
and the use of the latest technological improvements
in order to improve safety.