Ministry of Community Safety and Correctional Services :: All Reports

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Death Investigations

Office of the Chief Coroner

Publications & Reports


Copies of reports not available online can be obtained by contacting the Office of the Chief Coroner at 416-314-4000, 1-877-991-9959 or by email at occo.inquiries@ontario.ca

Investigation into the Deaths of Four Residents of a Toronto Retirement Home

Death Review of the Youth Suicides at the Pikangikum First Nation

Annual Reports

available on request

  • 2007
  • 2005-2006

Drowning Report

Patient Safety Review Committee Report

Reports of the Geriatric and Long Term Care Review Committee

  • 2010 – HTML / PDF – 262 kb
  • 2009 – HTML / PDF – 160 kb
  • 2008 – HTML / PDF – 336 kb
  • 2007 available on request

Reports of the Maternal and Perinatal Death Review Committee

  • 2010 – HTML / PDF – 680 kb
  • 2009 – HTML / PDF – 500 kb
  • 2008 – HTML / PDF620 kb
  • 2007 available on request

Reports on Inquests

  • 2009 Report on Inquests - HTML / PDF – 164 kb
  • 2008 Report on Inquests - HTML / PDF – 172 kb
  • 2007 Report on Inquests – HTML / PDF – 764 kb
  • Archived reports (2004–2006) available on request

Reports of the Paediatric Death Review Committee and Deaths Under Five Committee

Domestic Violence Death Reviews: Case Reviews of Domestic Violence Deaths