}}The second, more serious Tōkai nuclear accident () occurred about four miles away from the PNC facility on 30 September 1999, at a fuel enrichment plant operated by
JCO, a subsidiary of Sumitomo Metal Mining Company. It was the worst civilian nuclear radiation accident in Japan prior to
Fukushima (2011). This led to delays in informing the nearby public of the accident. In addition, the regulator did not conduct routine inspections to determine that the production process was not being carried out correctly. The second contributing issue was the use of an unapproved procedure. The accident occurred while manufacturing fuel at a different enrichment which was made infrequently. Because of a combination of reduced revenue, layoffs and inexperience, the company felt pressured to make this fuel despite not having the procedure approved. They stated that they did not submit a procedure for making this type of fuel to the regulator because they knew it would not get approved, and they would not be able to make it at all. Enriching nuclear fuel requires precision and has the potential to impose extreme risks to technicians. If done improperly, the process of combining nuclear products can produce a
fission reaction which, in turn, produces radiation. In order to enrich the uranium fuel, a specific chemical purification procedure is required. The steps included feeding small batches of
uranium oxide powder into a designated dissolving tank in order to produce
uranyl nitrate using
nitric acid. Next, the mixture is carefully transported to a specially crafted buffer tank. The buffer tank containing the combined ingredients is specially designed to prevent fission activity from reaching criticality. In a precipitation tank,
ammonia is added forming a solid product. This tank is meant to capture any remaining nuclear waste contaminants. In the final process, uranium oxide is placed in the dissolving tanks until purified, without enriching the
isotopes, in a wet-process technology specialized by Japan. Pressure placed upon JCO to increase efficiency led the company to employ an illegal procedure where they skipped several key steps in the enrichment procedure. The technicians poured the product by hand in stainless-steel buckets directly into a precipitation tank. The worker passed out, then regained consciousness 70 minutes later. The three workers were then transferred to the hospital, which confirmed that they were exposed to high doses of
gamma,
neutron, and other radiation. In addition to these three workers who immediately felt symptoms, 56 people at the JCO plant were reported to have been exposed to the gamma, neutron, and other irradiation. In addition to the workers at the site, construction workers who were working on a job site nearby, were also reported to have been exposed. The hazardous level was reached after the technicians added a seventh bucket containing aqueous uranyl nitrate, enriched to 18.8%
U, to the tank. The solution added to the tank was almost seven times the legal mass limit specified by the STA. The buffer tank's tall, narrow geometry was designed to hold the solution safely and to prevent criticality. In contrast, the precipitation tank had not been designed to hold unlimited quantities of this type of solution. The designed wide cylindrical shape made it favorable to criticality. The workers bypassed the buffer tanks entirely, opting to pour the uranyl nitrate directly into the precipitation tank. Uncontrolled
nuclear fission (a self-sustaining chain reaction) began immediately, emitting intense
gamma and
neutron radiation. Over the next several hours the fission reaction produced continuous chain reactions. Ouchi and Shinohara immediately experienced pain, nausea, and difficulty breathing; both workers went to the decontamination room where Ouchi vomited. Ouchi received the largest radiation exposure, resulting in rapid difficulties with mobility, coherence, and loss of consciousness.
Emergency service workers arrived and escorted other plant workers outside of the facility's muster zones. This restriction was lifted the next afternoon. Almost 15 days later, the facility instituted protection methods with sandbags and other shielding to protect from residual gamma radiation.
Aftermath Without an emergency plan or public communication from the JCO, confusion and panic followed the event. Sometime after the incident, people in the area were asked to lend any gold they had to help estimate the neutron flux the public was exposed to. Ultimately the incident was classified as an "irradiation" not "contamination" accident under Level 4 on the Nuclear Event Scale. The two technicians who received the higher doses, Ouchi and Shinohara, died several months later. Hisashi Ouchi, 35, was treated at the University of Tokyo Hospital for 83 days. Ouchi suffered serious
radiation burns to most of his body, had severe damage to his internal organs, and had a near-zero
white blood cell count. Without a functioning immune system, Ouchi was vulnerable to
hospital-acquired infection and was placed in a special radiation ward to limit the risk of infection. A
micrograph of his chromosomes showed that none of them were identifiable. Doctors tried to restore some functionality to Ouchi's immune system by administering
peripheral blood stem cell transplantation, which at the time was a new form of treatment. Although small areas of Ouchi's skin and mucous membranes recovered with treatment, his overall condition continued to deteriorate, and medical personnel privately doubted whether treatment should be continued given the lack of effectiveness and the pain Ouchi was experiencing. Masato Shinohara, 40, was transported to the same facility. He underwent radical cancer treatments, numerous successful skin grafts, and a transfusion from congealed umbilical cord blood (to boost stem cell count). He succumbed to lung and kidney failure on 27 April 2000. Their supervisor, Yutaka Yokokawa, 54, received treatment from the National Institute of Radiological Sciences (NIRS) in Chiba, Japan. He was released three months later with minor radiation sickness. He faced negligence charges in October 2000.
Contributors to both accidents According to the International Atomic Energy Agency, the cause of the accidents were "human error and serious breaches of safety principles". == In popular culture ==