it means the same thing as ham-fisted, more or less.
For example, it's entirely possible he's talking about not building active reactors in lieu of passive ones...
I'd say his stance is pretty nuanced and more to do with the care taken by people when designing and operating nuclear technology than being anti nuclear technology.
Well, yes and no:
"TEPCO, that operated the station, had been warned their seawall was insufficient to withstand a powerful tsunami, but the seawall height was not raised in response." https://en.wikipedia.org/wiki/Fukushima_Daiichi_Nuclear_Powe...
I agree with your general sentiment, but I would say that humans are the biggest threat in nuclear power.
edit - also, if you design for tsunami, the two-punch scenario is your design brief.
"Silence, lack of cries, laughter, tears and only the wind answers... Have we learnt anything since then?"
I would say the framing of that question makes his stance pretty clear.