OCC Inquest - Foster 2018

Office of the Chief Coroner

Verdict of Coroner's Jury

Office of the Chief Coroner

The Coroners Act - Province of Ontario


Surname: Foster
Given name(s): Richard
Age: 63

Held at: Napanee
From: March 1
To: March 2, 2018
By: Dr. Jennifer Tang
having been duly sworn/affirmed, have inquired into and determined the following:

Name of deceased: Richard Foster
Date and time of death: September 3rd, 2016, 7:35 a.m.
Place of death: Collins Bay Minimum Security Federal Penitentiary
Cause of death: Heroin toxicity
By what means: Accident

(Original signed by: Foreperson)


The verdict was received on the 1 of March, 2018
Coroner's name: Dr. Jennifer Tang
(Original signed by coroner)


We, the jury, wish to make the following recommendations:


Inquest into the death of:

Richard Foster


Jury Recommendations

  1. All Correctional Services of Canada officers should receive formal training sessions on the recognition and treatment of opioid overdose, this should include training for the proper administration of naloxone (Narcan).
  2. Collins Bay Minimum Security Federal Penitentiary should have a central real-time electronic record for communication, documentation and recording of observations and comments available to Correctional Officers. Officers should be mandated to review these entries at the beginning of their shift.