OCC Inquest - Tu 2017

Bureau du coroner en chef

Verdict of Coroner's Jury

Office of the Chief Coroner

The Coroners Act - Province of Ontario


Surname: Tu
Given Name(s): Minh Quyen
Age: 28

Held at: Barrie, ON
From: February 6
To: February 6, 2017
By: Dr. William Lucas, Coroner for Ontario
having been duly sworn/affirmed, have inquired into and determined the following:

Name of deceased: Minh Quyen Tu
Date and time of death: May 5, 2004 at 11:21 a.m.
Place of death: Huronia District Hospital currently known as Georgian Bay General Hospital  - Midland, ON
Cause of death: Stab wounds to the chest
By what means: Homicide

(Original signed by: Foreperson)


The verdict was received on the 6 of February, 2017
Coroner's name: Dr. William Lucas
(Original signed by coroner)


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


Inquest into the death of:

Minh Quyen Tu


Jury Recommendations

Suggest a review of the cell door lock mechanism as follows: can the lock be set such that once a “group open” is initiated by the control centre, that the door can only be opened from the inside, by the inmate. Of course there would be an override by the staff. This revised lock mechanism would prevent another inmate from entering a cell to do harm, or without the consent of the inmate rightfully occupying the cell.