Office of the Chief Coroner
Verdicts and Recommendations from Inquests
Alphabetical List
Updated to May 2009
A B C D E F G H I J K L M N O P R S T V W Y
Copies of verdicts, recommendations and verdict explanations can be obtained by contacting Pat Campbell in the Office of the Chief Coroner at 416-314-4025 or by email Pat.Campbell@ontario.ca
A
Deceased
(last initial first)
Date of Inquest
Presiding Coroner
Summary of Inquest
A., B.
June 23-24, 2004
Dr. A. McCallum
Accident. Farm tractor
A., J.
L., D.
June 9-19, 2003
Dr. D. Schooling
Accident. Construction.
A., N.
June 27, 2005
Dr. A. McCallum
Natural. Custody. Kingston Penitentiary.
A., R.
May 22, 2008
Dr. R. Caskey
Natural. Custody. Warkworth Institution.
A., S.
Oct. 29, 2004
Dr. G. Watt
Accident. Custody. Morphine
A., W.
Nov. 7-24, 2005
Dr. R. Drake
Accident. Construction. Gas line.
A., W.
March 17-19, 2008
Dr. W. Buckton
Natural. Custody. Sarnia Police
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B
Deceased
Date of Inquest
Presiding Coroner
Summary of Inquest
B., C.
March 16-17, 2005
Dr. R. Chivers
Accident. Construction on highway.
B., C.
April 29, 2002
Dr. B. Bechard
Accident. Custody. Collins Bay Penitentiary
B., C.
June 11-19, 2007
Dr. W. Lucas
Undetermined. Custody. Durham Regional Police.
B., C.
J., J.
P., S.
S., D.
Nov. 1-Dec. 2, 2004
Dr. W. Lucas
Accident. Undetermined. Methadone.
B., D.
Feb. 2-3, 2004
Dr. R. Chivers
Natural. Custody. Hamilton Detention Centre
B., D.
Jan. 29-Feb. 7, 2008
Dr. J. Stanborough
Natural. Psychiatric Hospital
B., D.
March 24-25, 2009
Dr. D. Legge
Natural. Custody. North Bay Jail.
B., D.
Feb. 7-March 3, 2005
Dr. P. Clark
Suicide. Psychiatric institution.
B., D.
Jan. 5-7, 2009
Dr. D. Wolski
Accident. Custody. Hamilton-Wentworth Detention Centre.
B., D.
Feb. 24, 2004
Dr. A. Lauwers
Natural. Custody. Warkworth Penitentiary
B., D.
Nov. 17-19, 2008
Dr. R. Mann
Accident. Construction. Roofer.
B., D.
June 20-22, 2005
Dr. R. Boyko
Accident. Construction.
B., E.
April 11-12, 2005
Dr. W. Ewen
Accident. Custody. Maplehurst Correctional Facility.
B., E.
Oct. 14-17, 2008
Dr. D. George
Accident. Construction. Drowning
B., G.
Nov. 26-27, 2007
Dr. R. Mann
Accident.
Construction
B., G.
E., D.
E., C.
M., V.
O., C.
Sept. 12-Nov. 16, 2005
Dr. B. Porter
Accident. Vehicle
B., H.
Jan. 29, 2009
Dr. D. Cooke
Natural. Custody. Kingston Penitentiary.
B., J.
June 16-17, 2003
Dr. D. Cooke
Natural. Custody. Warkworth Institution.
B., J.
Dec. 13-15, 2004
Dr. P. Savage
Accident. Custody. Central North Correctional Facility
B., J.
June 14, 2004
Dr. T. Wilson
Accident. Construction. Drowning. Ambassador Bridge.
B., J.
Jan. 26-29, 2009
Dr. W. Lucas
Homicide. Custody. York Regional Police.
B., J.
Dec. 14-20, 2006
Dr. A. Lauwers
Natural. Custody.
B., J.
March 27 - April 5, 2006
Dr. D. Evans
Natural. Custody.
B., J.
Dec. 5-13, 2005
Dr. P. Savage
Suicide. Custody. OPP.
B., J.
June 24-27, 2003
Dr. D. Legge
Accident. Mining.
B., J.
May 3, 2006
Dr. P. Savage
Natural. Custody.
B., K.
Feb. 8-10, 2005
Dr. J.R. Swain
Accident. Construction.
B., K.
Feb. 20, 2008
Dr. L. McNaughton-Filion
Natural. Custody. Kingston Penitentiary.
B., K.
May 13-14, 2009
Dr. J. Fedoruk
Suicide. Custody. Bluewater Health.
B., M.
April 25-25, 2007
Dr. J. Carlisle
Natural. Custody. Metro West Detention Centre.
B., M.
Dec. 5-12, 2006
Dr. J. Ewen
Natural. Custody.
B., N.
Feb. 9-10, 2004
Dr. R. Boyko
Accident. Construction.
B., R.
Nov. 28, 2005
Dr. R. McIlquham
Suicide. Custody. Collins Bay Institution.
B., R.
Nov. 12-14, 2008
Dr. R. Jhirad
Accident. Construction. Roofer
B., R.
Jan. 20, 2005
Dr. E. Gardiner
Accident. Construction.
B., R.
April 4-8, 2005
Dr. S. McRae
Accident. Custody. Sudbury Jail.
B., R.
Feb. 12-13, 2007
Dr. J. Carlisle
Natural. Custody.
B., R.
Dec. 3, 2008
Dr. B. Mainville
Homicide. Custody. Collins Bay Institution
B., S.
April 27-28, 2006
Dr. J. Deacon
Suicide. Custody.
B., S.
Oct. 7-8, 2004
Dr. R. Drake
Accident. Gravel Pit.
B., S.
March 31, 2003
Dr. P. Clark
Suicide. Custody. Belleville Police.
B., T.
April 6-13, 2005
Dr. W. Lucas
Natural. Custody. Peel Regional Police.
B., T.
Sep. 26 - Oct. 7, 2005
Dr. J. Edwards
Accident. Traffic.
B., W.
Dec. 20, 2006
Dr. R. McIlquham
Natural. Custody.
B., Y.
May 4-6, 2005
Dr. B. Mainville
Accident. Custody. Millhaven Penetentiary.
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C
Deceased
Date of Inquest
Presiding Coroner
Summary of Inquest
C., A.
June 16-18, 2003
Dr.W.D. Allin
Accident. Construction.
C., A.
April 27-29, 2009
Dr. D. Wolski
Accident. Custody. Niagara Police Service.
C., B.
June 26-30, 2006
Dr. G. Watt
Suicide. Custody. Ottawa Police.
C., C.
June 24, 2003
Dr. B. Mainville
Accident. Custody. Kingston Penitentiary. Excited Delirium.
C., C.
January 31 - February 1, 2008
Dr. G. Watt
Natural. Custody. Ottawa Police.
C., D.
April 21-23, 2008
Dr. A. McCallum
Accident. Custody. Quinte Detention Centre.
C., D.
Oct. 20-21, 2008
Dr. R. Boyko
Suicide. Custody. Maplehurst Correctional Centre.
C., E.
Oct. 3-5, 2006
Dr. J. Edwards
Accident. Construction
C., E.
July 14-16, 2003
Dr. K. Smith
Accident. Construction.
C., F.
May 12-14-2008
Dr. D. Sedran
Suicide. Custody. Toronto Police.
C., G.
Sept. 11, 2008
Dr. R. Mann
Natural. Custody. Elgin Middlesex Detention Centre.
C., J.
May 7, 2008
Dr. B. Mainville
Suicide. Custody. Kingston Penitentiary.
C., J.
Jan. 30 - Feb. 9, 2006
Dr. J. Edwards
Natural. Custody.
C., J.
C., R.
Feb. 28-March 3, 2005
Dr. D. Cooke
Accident. Construction. Electrocution.
C., J.
Nov. 8-9, 2004
Dr. J. Kovacs
Accident. Construction.
C., K.
March 16-18, 2005
Dr. D. Legge
Suicide. Custody. O.P.P.
C., K.
Dec. 13-16, 2004
Dr. W. Lucas
Suicide. Custody. Peel Regional Police.
C., M.
Jan. 17-25, 2005
Dr. D. Eden
Accident. Snow grooming machine.
C., N.
Sept. 11-13, 2007
Dr. D. Sedran
Accident. Construction.
C., O.
November 5 - December 14, 2007
Dr. J. Edwards
Homicide. Custody. Toronto Police. Mentally ill.
C., R.
April 21-25, 2008
Dr. R. Sawkiw
Accident. Mines. Podolsky Mine.
C., R.
Jan. 31, 2007
Dr. A. McCallum
Natural. Custody.
C., S.
March 4, 2009
Dr. R. Skinner
Homicide. Custody. Kingston Penitentiary.
C., T.
Sept. 19-27, 2005
Dr. D. Wolski
Accident. School Trip.
C., V.
December 13, 2007
Dr. D. George
Natural. Custody. Beaver Creek Institution.
C., V.
July 23, 2008
Dr. R. McIlquham
Natural. Custody.
Kingston Penitentiary.
CASA VERDE NURSING HOME
E., E.
L., P.
Jan. 31-April 18, 2005
Dr. D. Evans
Homicide. Nursing Home.
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D
Deceased
Date of Inquest
Presiding Coroner
Summary of Inquest
D., A.
Oct. 30, 2006
Dr. B. Bechard
Natural. Custody.
D., B.
Sept. 8, 12, 2008
Dr. D. Huyer
Natural. Custody. Central North Correctional Centre.
D., B.
April 22-29, 2003
Dr. A. Lauwers
Natural. Custody. Millbrook Correctional Centre.
D., B.
March 25-28, 2008
Dr. C. Fedoruk
Accident. Custody. Windsor Police.
D., D.
Oct 9-10, 2007
Dr. J. Carlisle
Accident. Custody. Toronto West Detention Centre.
D., D.
Jan. 27, 2003
Dr. B. Mainville
Natural. Custody. Kingston Penitentiary.
D., D.
Feb. 28, 2005
Dr. D. Wolski
Suicide. Custody. Brantford Jail.
D., D.
Oct. 27, 2004
Dr. McIlquham
Natural. Custody. Kingston Penitentiary.
D., H.
Aug. 18-19, 2003
Dr. D. Legge
Accident. Construction.
D., J.
Nov. 3-4, 2004
Dr. R. Sawkiw
Accident. Mining.
D., K.
16-19, 2003
Dr. C. Rathwell
Accident. Construction. Electrocution
D., K.
V., M.
Dec 9-11, 2002
Dr. P. Savage
Accident. Construction. Trench cave in.
D., L.
D., M.
September 24 - December 11,2007
Dr. A. McCallum
Homicide. Suicide. Discretionary. Workplace violence. Domestic violence.
D., M.
Nov. 17-28, 2008
Dr. J. Stanborough
Homicide. Custody. Sarnia Police.
D., N.
Feb. 16-18, 2004
Dr. D. Huyer
Accident. Construction
D., R.
Feb. 4-5, 2009
Dr. S. Bodley
Suicide. Custody. Monteith Correctional Complex.
D., R.
July 9-13, 2007
Dr. D. Mutrie
Suicide. Custody. Thunder Bay Jail.
D., S.
Oct. 6-7 2003
Dr. W. Lucas
Accident. Construction
D., T.
May 27-28, 2008
Dr. D. Schooling
Accident. Construction.
D., W.
March 23, 2005
Dr. A. McCallum
Accident. Custody. O.P.P.
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E
Deceased
Date of Inquest
Presiding Coroner
Summary of Inquest
E., D.
June 20-12, 2005
Dr. P. Clark
Accident. Construction.
E., E.
Jan. 12-15, 2009
Dr. R. Mann
Accident. Drowning. Summer Day Camp.
E., G.
May 14, 2007
Dr. M. Reingold
Natural. Custody. Metro West Detention Centre
E., J.
Sept. 13-24, 2004
Dr. P. Savage
Accident. Custody. Penetanguishene.
E., L.
June 26-27, 2006
Dr. D. Giddens
Natural. Custody.
E., M.
Nov. 10, 2003-Jan. 20, 2004
Dr. R. Isaac
Accident. Construction.
E., R.
Nov. 28-29, 2005
Dr. W. George
Accident. Construction
E., R.
May 31, 2007
Dr. B. Bechard
Natural. Custody. St. Lawrence Valley Correctional Centre
E., S.
November 7, 2007
Dr. B. Mainville
Suicide. Custody. Joyceville Institution.
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F
Deceased
Date of Inquest
Presiding Coroner
Summary of Inquest
F., A.
July 25, 2006
Dr. B. Bechared
Accident. Construction.
F., A.
Sept. 8-10, 2003
Dr. D. Huyer
Accident. Construction.
F., C.
Dec. 8, 2008
Dr. W. Lucas
Accident. Construction.
F., D.
Jan. 19-21, 2009
Dr. J. Stanborough
Accident. Custody.
F., G.
Jan. 28, 2004
Dr. R. McIlquham
Natural. Custody. Kingston Penitentiary.
F., G.
Oct. 18-29, 2004
Dr. J. Hammett
Homicide. Custody. Standoff with police.
F., G.
December 17-19, 2007
Dr. R. Skinner
Accident. Custody. Owen Sound Jail.
F., J.
June 7-9, 2004
Dr. W. Buckton
Suicide. Custody. Windsor Jail.
F., J.
December 17-18, 2007
Dr. D. Schooling
Natural. Custody. Maplehurst Correctional Facility.
F., K.
March 3-5, 2008
Dr. D. Wolski
Accident. Construction. Electrocution.
F., M.
June 16-26, 2008
Dr. D. H. Evans
Natural. Custody. Vanier Centre for Women.
F., P.
April 4-6, 2005
Dr. D. Wolksi
Accident. Construction.
F., P.
Jan. 29 - Feb. 7, 2007
Dr. J. Edwards
Homicide. Custody. Toronto Police shooting.
F., P.
June 12, 2003
Dr. B. Bechard
Homicide. Custody. Collins Bay Penitentiary
F., T.
April 4-6, 2005
Dr. D. Legge
Accident. Mining.
F., W.
April 21-22, 2008
Dr. P. Clark
Natural. Custody. Warkworth Institution.
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G
Deceased
Date of Inquest
Presiding Coroner
Summary of Inquest
G., C.
March 9-11, 2009
Dr. B. Porter
Accident. Custody. Hamilton Police.
G., E.
May 11, 2006
Dr. P. Savage
Natural. Custody. Oakridges Mental Health Centre.
G., J.
Dec. 1, 2008
Dr. G. Watt
Natural. Custody. Maplehurst Correctional Complex.
G., J.
March 19 - April 26, 2007
Dr. D. Eden
Undetermined. Discretionary. Military College
G., M.
June 3-July 2, 2002
Dr. K. Acheson
Undetermined. Police Shooting. South Simcoe Police.
G., M.
May 22-23, 2007
Dr. S. Teper
Accident. Construction.
G., R.
November 13-16, 2007
Dr. D. Schooling
Suicide. Custody. Maplehurst Correctional Facility.
G., R.
Dec. 9-10, 2008
Dr. D. Schooling
Suicide. Custody. Maplehurst Correctional Centre.
G., R.
Nov. 3-6, 2008
Dr. D. Sedran
Accident. Custody. Toronto Police.
G., R.
July 22, 2008
Dr. B. Burke
Natural. Custody. Toronto East Detention Centre.
G., R. (youth)
May 4-7, 2004
Dr. K. Acheson
Accident. Custody. Youth.
G., W.
April 13, 2004
Dr. J. Ewan
Natural. Custody. Maplehurst.
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H
Deceased
Date of Inquest
Presiding Coroner
Summary of Inquest
H., A.
Aug. 19, 2002
Dr. D. Thompson
Accident.Traffic. Monster Truck.
H., A.
May 8-June 1, 2000
Dr. B. McLellan
Accident. Ecstasy.
H., D.
Feb. 9, 2009
Dr. D. Wolski
Natural. Custody. Hamilton-Wentworth Detention Centre.
H., D.
July 18-22, 2005
Dr. D. Evans
Accident. Custody. Toronto Police.
H., D.
Dec. 10-12, 2002
Dr. C. Rathwell
Suicide. Custody. Guelph Treatment Centre
H., D.
June 7-10, 2004
Dr. J. Ewen
Accident. Custody.
H., G.
H., R.
Oct. 22, 2001-Feb. 8, 2002
Dr. B. Porter
Homicide. Suicide. Domestic violence.
H., G.
February 26-27, 2008
Dr. J. Kovacs
Accident. Construction.
H., G.
July 22, 1998
Dr. T. Gillmore
Natural. Custody. Toronto West Detention Centre.
H., G.
Nov. 15-19, 2004
Dr. J. Deacon
Accident. Mines.
H., J.
Jan. 9-April 11, 2001
Dr. J. Cairns
Homicide. Chronic starvation of infant.
H., J.
Aug. 8-11, 2005
Dr. D.M. Child
Accident. Construction. Drowning.
H., J.
Jan. 25, 2006
Dr. R. McIlquham
Natural. Custody.
H., K.
Feb. 10, 2004
Dr. T. Wilson
Accident. Construction.
H., L.
May 6-7, 2002
Dr. D. Evans
Natural. Custody. Toronto Jail
H., M.
March 29-April 1, 2005
Dr. J. Ewen
Accident. Occupational.
H., M.
June 18, 2003
Dr. R. Caskey
Natural. Custody. Warkworth Penitentiary
H., M.
November 13-22, 2007
Dr. J. Stanborough
Accident. Construction.
H., Q.
Jan. 19-22, 1999
Dr. T. Gillmore
Suicide. Custody. Don Jail.
H., R.
June 18-21, 2007
Dr. B. Mainville
Homicide. Custody. Ottawa-Carleton Regional Treatment Centre.
H., R.
March 9-3, 2009
Dr. D. Evans
Natural. Custody. Toronto West Detention Centre.
H., R.
May 3-5, 2005
Dr. D. Schooling
Accident. Construction. Electrocution.
H., S.
June 23-24, 2003
Dr. A. McCallum
Natural. Custody. Burtch Correctional Facility.
H., V.
July 18, 2005
Dr. P. Savage
Natural. Custody. Oakridges Mental Health.
H., W.
Oct. 30 - Nov. 4, 2006
Dr. A. McCallum
Accident. Drugs. Methadone.
H., W.
May 1, 2003
Dr. B. Bechard
Accident. Custody. Quinte Detention Centre.
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I
Deceased
Date of Inquest
Presiding Coroner
Summary of Inquest
I., J.
May 16, 2008
Dr. D. Eden
Accident. Construction. Heavy Machine Operator.
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J
Deceased
Date of Inquest
Presiding Coroner
Summary of Inquest
J., E.
April 22-25, 2003
Dr. R. Mann
Accident. Drowning. Backyard pool.
J., G.
Feb. 7-14, 2005
Dr. D. Wolski
Accident. Mining.
J., J.
Sept. 15 – Oct. 10, 2008
Dr. A. E. Lauwers
Natural. Custody. Centre for addiction and Mental Health.
J., M.
Oct. 17-19, 2005
Dr. J.Kovaks
Accident. Construction.
J., N.
Sept. 8-11, 2008
Dr. S. McRae
Accident. Custody. Sudbury Police.
J., R.
Nov. 1, 2006
Dr. R. McIlquham
Suicide. Custody.
J., R.
Feb. 26, 2003
Dr. R. McIlquham
Natural. Custody. Kingston Penitentiary.
J., S.
June 30, 2004
Dr. J. Edwards
Suicide. Custody.
J., S.
Oct. 26-27, 2005
Dr. R. Sawkiw
Accident. Mining.
J., S.
Nov. 18-Dec. 17, 2002
Dr. W. Lucas
Undetermined. Use of restraints. Group home.
J., S.
April 1-May 9, 1997
Dr. R. Bennett
Homicide. Child Protection.
J., S.
April 17, 2007
Dr. D. Schooling
Natural. Custody. Maplehurst Correctional Facility.
J., V.
July 12-22, 2002
Dr. W. Lucas
Suicide. Police involvement.
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K
Deceased
Date of Inquest
Presiding Coroner
Summary of Inquest
K., A.
January 7-9, 2008
Dr. R. Mann
Suicide. Custody. Walkerton Jail.
K., E.
March 4-15, 2002
Dr. W. Lucas
Undetermined. Pedestrian struck by elderly driver.
K., E.
Dec. 16-17, 2008
Dr. D. Wolski
Homicide. Custody. Hamilton-Wentworth Detention Centre.
K., J.
June 7-21, 1999
Dr. D. Eden
Natural. Health Care. Pregnant.
K., J.
June 3-13, 2008
Dr. W. Lucas
Homicide. Excited Delerium. Peel Police.
K., J.
Nov. 4-7, 2008
Dr. S. Teper
Accident. Construction.
K., M.
Sept. 25-27, 2007
Dr. M. Bourne
Accident. Construction.
K., M.
June 19-22, 2006
Dr. D. Legge
Homicide. Custody. Thunder Bay Police.
K., M. (youth)
Feb. 14-21, 2005
Dr. D. Eden
Suicide. Custody. Sprucedale Youth Centre.
K., S.
June 4-6, 2001
Dr. J. Edwards
Natural. Custody. Toronto West Detention Centre.
K., S.
July 15-25, 1996
Dr. M. Milton
Accident. Health Care.
K., T.
Aug. 2-4, 2005
Dr. D. Coates
Suicide. Custody. Windsor Jail.
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L
Deceased
Date of Inquest
Presiding Coroner
Summary of Inquest
L., A.
March 1-2, 2004
Dr. J. Deacon
Accident. Mines. Falconbridge.
L., A.
Oct. 12, 2005
Dr. R. McIlquham
Natural. Custody. Kingston Penitentiary.
L., A.
Nov. 5-7, 2008
Dr. L. McNaughton-Filion
Natural. Custody. Brockville Psychiatric Hospital.
L., A.
March 2, 2005
Dr. R. McIlquham
Natural. Custody. Bath Institution.
L., B.
Oct. 31, 2005
Dr. J. Deacon
Natural. Custody. Frontenac Institution.
L., B.
May 12-15, 2008
Dr. S. McRae
Accident. Mines. Inco.
L., B.
Feb. 14, 2006
Dr. A. McCallum
Accident. Custody.
L., C.
November 5, 2007
Dr. R. Sawkiw
Accident. Mining.
L., C.
Dec. 19, 2005
Dr.J. Deacon
Natural. Custody. Kingston Penitentiary.
L., C.
Feb 15-18, 1999
Dr. F. Demanuele
Accident. Construction.
L., I.
June 5-7, 2007
Dr. D. Legge
Accident. Mining. Kirkland Lake Gold Mine.
L., K.
April 28-30, 2003
Dr. D. Eden
Accident. Custody. Windsor Detention Centre
L., K.
December 10-11, 2007
Dr. J. Stanborough
Suicide. Custody. Owen Sound Jail.
L., L.
Jan. 14-15, 2004
Dr. J. Swain
Accident. Construction.
L., L.
April 22, 2002-Jan. 16, 2004
Dr. B. McLellan
Accident. Stroke.
L., M.
May 31-July 9, 2004
Dr. D. Legge
Suicide. Custody. THunder Bay District Jail.
L., M.
September 11-14, 2007
Dr. D. Evans
Accident. Custody. Barrie Police Service.
L., M.
Jan. 20-24, 2003
Dr. D. Legge
Undetermined. Police Shooting. O.P.P.
L., P.
May 2-13, 2005
Dr. T. Wilson
Accident. Custody. London Police Service
L., P.
April 21-22, 2009
Dr. R. Skinner
Natural. Custody. Quinte Detention Centre.
L., R.
Oct. 18-20, 2004
Dr. D. Legge
Accident. Mines. Placer Dome.
L., R.
June 23, 2003
Dr. B. Mainville
Natural. Custody. Millhaven Correctional Institute.
L., S.
June 7-15, 2005
Dr. A. McCallum
Accident. Railway. Pedestrian.
L., W.
Nov. 28 - Dec. 2, 2005
Dr. W. Lucas
Accident. Martial Arts
L., W.
December 1-3, 2008
Dr. J. Stanborough
Natural. Custody. Ontario Provincial Police.
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M
Deceased
Date of Inquest
Presiding Coroner
Summary of Inquest
M., A.
Oct. 30-31, 2006
Dr. S. McRae
Accident. Construction.
M., A.
Aug. 23-Sept 7, 2004
Dr. B. Bechard
Natural. Health Care. Ambulance.
M., A.
April 27, 2005
Dr. R. Chivers
Natural. Custody. Hamilton Detention Centre
M., A.
July 21-23, 2003
Dr. R. Chivers
Accident. Construction. Electrocution.
M., A.
I., R.
Feb. 16-July 2, 1998
Dr. B. Porter
Murder. Suicide. Domestic Violence
M., B.
Oct. 2-3, 2007
Dr. J. Ewan
Accident. Construction. Fall from roof.
M., B.
March 10-13, 2008
Dr. D. Evans
Natural. Custody. Waterloo Regional Police.
M., B.
Nov. 27-Dec. 4, 2003
Dr. C. Rathwell
Suicide. Custody. Brantford Jail.
M., C.
Oct. 18-29, 2004
Dr. T. Wilson
Accident. Custody. St. Thomas Psychiatric Hospital.
M., C.
Sept. 27, 2004
Dr. B. Bechard
Natural. Custody. Kingston Penitentiary
M., C.
Dec. 17, 2003
Dr. P. Clark
Natural. Custody. Warkworth Institute.
M., C.
July 28-29, 2005
Dr.W. Buckton
Accident. Custody. Windsor Police.
M., D.
Sept. 22-25, 2006
Dr. G. Watt
Suicide. Custody.
M., D.
24 Nov., 2003
Dr. C. Rathwell
Accident. Custody. Cocaine poisoning.
M., D.
Jan. 19-April 8, 2004
Dr. D. Evans
Suicide. Custody. Toronto Youth Assessment Centre.
M., D.
Sept 8-23, 2008
Dr. A. McCallum
Homicide. Custody.
M., D.
March 19-25, 2008
Dr. D. Evans
Suicide. Custody. Maplehurst Correctional Facility.
M., D.
October 29, 2007
Dr. R. Jhirad
Natural. Custody. Maplehurst Correctional Facility
M., E.
Dec. 12-20, 2005
Dr. R. Isaac
Accident. Custody. Toronto Police.
M., E.
M., A.
S., P.
Aug. 12-Oct. 4, 2002
Dr. P. Clark
Accident. Smoke inhalation.
M., F.
Aug. 27, 2008
Dr. B. Mainville
Natural. Custody. Kingston Penitentiary.
M., F.
April 19-20, 1999
Dr. J. Giddens
Accident. Construction.
M., G.
Jan. 26, 2005
Dr. R. McIlquham
Natural. Custody. Kingston Penitentiary.
M., G.
May 3, 2004
Dr. A. McCallum
Accident. Custody. Kingston Penitentiary.
M., H.
March 14-28, 2000
Dr. W. Lucas
Accident. Custody. Toronto Police.
M., H.
April 17-May 3, 2001
Dr. W. Lucas
Undetermined. Police Shooting.
M., H.
Nov. 3-6, 2008
Dr. D. Huyer
Natural. Custody.
M., I.
April 8, 2009
Dr. R. McIlquham
Natural. Custody. Kingston Penitentiary.
M., J.
Sept. 22-23, 2003
Dr. D. Giddens
Accident. Construction. Subway.
M., J.
May 2-3, 2007
Dr. A. Lauwers
Natural. Custody. Toronto West Detention Centre.
M., J.
June 19-20, 2006
Dr. D. Schooling
Accident. Construction
M., J.
April 26-29, 1999
Dr. A. Jones
Accident. Custody. RCMP
M., J.
June 11-13, 2003
Dr. P. Savage
Accident. Construction
M., J.
Dec. 14, 2005
Dr. R. McIlquham
Natural. Custody. Kingston Penitentiary.
M., J.
Sept. 16-Oct. 10, 1996
Dr. T. Gillmore
Homicide. Homeless shelter.
M., J.
R., P.
Nov. 30, Dec. 16, 1998
Dr. W. Lucas
Accident. Undetermined. Custody.
M., K.
May 25 - June 14, 2004
Dr. D. Wolksi
Undetermined. Custody.
M., K.
Sept. 27, 2006
Dr. B. Mainville
Homicide. Custody.
M., L.
March 22-29, 1999
Dr. M. Naiberg
Accident. Mental Health.
M., L.
Feb. 12-13, 2003
Dr. P. Clark
Accident. Custody. Warkworth Penitentiary.
M., L.
June 14, 2007
Dr. J. Deacon
Natural. Custody. Bath Institution.
M., L.
W., K.
Jan. 17-19, 2005
Dr. T. Wilson
Accident. Construction.
M., M.
Dec. 10-14, 2001
Dr. R. Isaac
Accident. Construction.
M., M.
Feb. 11, 2009
Dr. R. McIlquham
Natural. Custody. Kingston Penitentiary.
M., M.
May 25-26, 1999
Dr. M. Reingold
Accident. Construction.
M., M.
A., E.
May 4-20, 2004
Dr. D. Legge
Accident. Hypothermia. Canoe.
M., N.
July 19-20, 1999
Dr. J. Taylor
Natural. Custody.
M., P.
Nov. 17-21, 2008
Dr. D. H. Evans
Undetermined. Custody. Toronto Police.
M., P.
April 26-27, 2006
Dr. D. Wolski
Suicide. Custody.
M., R.
July 28-29, 2008
Dr. M. Bourne
Accident. Construction. Labourer.
M., R.
Sept. 27, 2005
Dr. A. McCallum
Natural. Custody. Hamilton Detention Centre.
M., R.
April 2-4, 2003
Dr. E. Spencer
Accident. Construction.
M., S.
Oct. 23-24, 2006
Dr. B. Bechard
Accident. Custody.
M., S.
June 7-11, 2004
Dr. D. Huyer
Accident. Gravel Pit
M., S.
April 27, 2007
Dr. A. McCallum
Accident. Traffic. Alcohol.
M., S.
May 7, 2008
Dr. R. McIlquham
Natural. Custody. Kingston Penitentiary.
M., S.
October 11-31, 2007
Dr. B. Bechard
Accident. Custody. Ottawa Airport.
M., S.
April 10-11, 2007
Dr. D. Giddens
Suicide. Custody. Don Jail.
M., S.
Sept. 13-16, 2006
Dr. B. Lauwers
Accident. Construction.
M., T.
June 28, 2006
Dr. B. Bechard
Natural. Custody.
M., T.
March 27-28, 2001
Dr. A. Jones
Accident. Construction.
M., W.
Dec. 18-19, 2000
Dr. J. Giddens
Natural. Custody
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N
Deceased
Date of Inquest
Presiding Coroner
Summary of Inquest
N., B.
March 6, 2006
Dr. J. Deacon
Accident. Custody. Methadone.
N., H.
May 3, 2006
Dr. R. McIlquham
Natural. Custody.
N., K.
June 17-18, 1999
Dr. A. Jones
Suicide. Custody.
N., L.
March 27-April 4, 2001
Dr.R. Isaac
Accident. Custody. Toronto Police.
N., R.
Jun 16, 2003
Dr. J. Ewen
Accident. Custody.Cocaine poisoning. Maplehurst Correctional Facility.
N., R.
Dec. 19, 2008
Dr. G. Watt
Accident. Custody. Waterloo Regional Police.
N., R.
Feb. 17-19, 2009
Dr. S. Bodley
Accident. Mining. Stobie Mines.
N., R.
March 21, 2007
Dr. B. Mainville
Natural. Custody. Collins Bay.
N., S.
Nov. 27, 2006
Dr. T. Gillmore
Natural. Custody.
N., T.
April 18-29, 2005
Dr. W. Lucas
Natural. Health care. Diabetes.
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O
Deceased
Date of Inquest
Presiding Coroner
Summary of Inquest
O., A.
O., J.
March 2-April 9, 2009
Dr. J. Edwards
Homicide. Father and Son. Brantford Police.
O., B.
Nov. 13-15, 2001
Dr. J. Edwards
Natural. Custody. Toronto Don Jail.
O., C.
Feb. 27 - June 20, 2007
Dr. R. McIlquham
Accident. Custody. Kingston Penitentiary.
O., J.
Nov. 1, 2004
Dr. G. Watt
Undetermined. Custody.
O., L.
Nov. 19, 2003
Dr. R. Caskey
Suicide. Custody. Warkworth Institution.
O., M.
June 5-7, 2006
Dr. R. Mann
Natural. Custody. Owen Sound Police Service.
O., N.
O., O.
O., B.
W., R.
April 29-May 1, 2003
Dr. D. Legge
Accident. Carbon Monoxide Poisoning.
O., R.
Nov. 23-25, 2005
Dr. J. Ewen
Accident. Custody. Stratford Jail.
O., S.
Jan. 29, 2003
Dr. R. McIlquham
Natural. Custody. Kingston Penitentiary.
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P
Deceased
Date of Inquest
Presiding Coroner
Summary of Inquest
P., A.
Jan. 27-28, 2005
Dr. K. Smith
Accident. Construction.
P., A.
March 1-4, 1999
Dr.R. Isaac
Accident. Construction.
P., C.
Sept. 29-Oct. 7, 2008
Dr. G. Watt
Accident. Drowning.
Recreational Scuba Diving.
P., C.
Sept. 3, 2008
Dr. D. Huyer
Natural. Custody. Mental Health Centre Penetanguishene.
P., C.
Oct. 29-31, 2008
Dr. P. Savage
Accident. Institutional Care. Penetanguishene.
P., D.
Nov. 3, 2008
Dr. R. G. Caskey
Natural. Custody. Warkworth.
P., D.
May 1, 2002
Dr. R. McIlquham
Suicide. Custody. Kingston Penitentiary
P., D.
Oct. 25-26, 2004
Dr. D. George
Natural. Custody. Fenbrook.
P., G.
June 18, 2008
Dr. R. McIlquham
Natural. Custody. Quinte Detention Centre.
P., J.
Sept. 13, 2005
Dr. A. McCallum
Natural. Custody. Kingston Penitentiary.
P., J.
Feb. 23-25, 2009
Dr. S. McRae
Accident. Custody. Thunder Bay District Jail.
P., K.
March 19, 2007
Dr. S. McRae
Accident. Mining
P., P.
Jan. 12-30, 2004
Dr. K. Acheson
Accident. Custody.
P., P.
Sept. 28-30, 2004
Dr. David Schooling
Suicide. Custody. Grand River Prison for Women.
P., R.
March 27-28, 2006
Dr. J. Ewen
Custody. Suicide.
P., R.
Feb. 13,2004
Dr. G. Watt
Accident. Construction.
P., R.
Sept. 14, 2000
Dr. T. Gillmore
Suicide. Custody.
P., S.
Nov. 20-23, 2000
Dr. M. Reingold
Suicide. Custody.
P., W.
June 7-8, 2004
Dr. R. Mann
Accident. Construction.
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R
Deceased
Date of Inquest
Presiding Coroner
Summary of Inquest
R., A.
Oct. 20-21, 2008
Dr. D. H. Evans
Natural. Custody. Toronto Police.
R., A.
April 21-22, 2008
Dr. P. Charron
Accident. Construction.
R., C.
April 20-21, 2009
Dr. S. MacRae
Suicide. Custody. Algoma Treatment and Remand Centre.
R., D.
August 29, 2007
Dr. R. McIlquham
Natural. Custody. Kingston Penitentiary.
R., D.
Sept. 22-28, 2005
Dr. G. Watt
Accident. Occupational.
R., G.
Nov. 8-10 2004
Dr. R. Mann
Accident. Construction.
R., G.
March 22-April 8,2004
Dr. W. Lucas
Accident. Parachuting.
R., J.
May 8 - Oct. 13, 2006
Dr. B. Porter
Homicide. Custody. Police.
R., K.
March 20-21, 2006
Dr. R. Isaac
Natural. Custody. Don Jail.
R., M.
Dec. 19, 2003
Dr. G. Watt
Accident. Construction. Fall
R., N.
Jan. 8-9, 2009
Dr. L. McNaughton-Filion
Accident. Construction
R., P.
Sept. 14-16, 2005
Dr. D. Schooling
Accident. Construction.
R., P.
Sept. 29, 2004
Dr. B. Bechard
Suicide. Custody. Collins Bay Institution.
R., P.
Feb. 21-23, 2005
Dr. R. Boyko
Accident. Construction.
R., R.
Nov. 17, 2006
Dr. R. McIlquham
Natural. Custody.
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S
Deceased
Date of Inquest
Presiding Coroner
Summary of Inquest
S., A.
June 17-19, 2008
Dr. G. Churchill
Undetermined. Custody. Central North Correctional Centre.
S., A.
September 17- October 2, 2007
Dr. A. Lauwers
Accident. Discretionary. Building Collapse.
S., A.
Dec. 15, 2008
Dr. J. Stanborough
Accident. Custody. Waterloo Regional Police.
S., A.
April 25-28, 2006
Dr. A.E. Lauwers
Natural. Custody.
S., B.
June 16-20, 2003
Dr. C. Eisener
Accident. Mining.
S., C.
January 23, 2008
Dr. R. McIlquhama
Natural. Custody. Kingston Penitentiary
S., D.
Jan. 12-27, 2006
Dr. R. Isaac
Accident. Custody.Mimico Correctional Centre.
S., E.
March 3, 2004
Dr. R. McIlquham
Accident. Custody. Frontenac Institution
S., E.
March 26, 2003
Dr. R. McIlquham
Natural. Custody. Kingston Penitentiary.
S., G.
May 27, 2002
Dr. B. Bechard
Homicide. Custody. Millhaven Penitentiary
S., G.
May 24 - 26, 2005
Dr. G. Mann
Accident. Custody. Police.
S., J.
September 4-7, 2007
Dr. J. Stanborough
Accident. Construction. Elevator.
S., J.
Nov. 12-13, 2008
Dr. J. Ewen
Accident. Custody. OPP.
S., J.
Feb. 9-10, 2005
Dr. D. Wolski
Accident. Construction. Electrocution.
S., J.
January 21-30, 2008
Dr. G. Watt
Homicide. Custody. OPP.
S., L.
Feb. 24,2006
Dr. G. Watt
Accident. Construction.
S., L.
Nov. 15, 2005
Dr. P. Savage
Natural. Custody.
S., L.
Nov. 8, 1999 - Feb. 24, 2000
Dr. J. Cairns
Homicide. Hospital. Child.
S., M.
March 5-7, 2007
Dr. D. Sedran
Natural. Custody. Toronto Jail.
S., M.
Sept. 15-16, 2008
Dr. M. Renders
Accident. Construction.
S., P.
Feb. 23-April 23, 2004
Dr. D. Eden
Accident. Restraint asphyxia. Security Guards.
S., P.
March 30-April 1, 2009
Dr. P. Charron
Accident. Construction. Electrocution.
S., R.
July 12-14, 1999
Dr. D. Giddens
Suicide. Custody.
S., R.
Feb. 14, 2005
Dr. G. Watt
Natural. Custody.
S., R.
Jan. 9-10, 2006
Dr. D. Schooling
Accident. Construction.
S., R.
April 2-4, 2002
Dr. J. Edwards
Natural. Custody. Toronto East Courts.
S., S.
Dec. 1, 2004
Dr. R. Caskey
Natural. Custody.
S., T.
Sept. 22-23, 2008
Dr. L. McNaughton-Filion
Accident. Custody. Ottawa Carleton Detention Centre.
S., W.
Dec. 15, 2003
Dr. B. Mainville
Natural. Custody. Kingston Penitentiary.
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T
Deceased
Date of Inquest
Presiding Coroner
Summary of Inquest
T., C.
Oct. 18, 2006
Dr. J. Deacon
Natural. Custody
T., D.
April 19-20, 2005
R. McIlquham
Suicide. Custody. Federal.
T., D.
Oct. 9-10, 2003
Dr. J. Edwards
Accident. Construction. Roofing.
T., J.
Nov. 17, 2003-May 7, 2004
Dr. J. Edwards
Natural. Tuberculosis.
T., K.
Dec. 10-11, 2008
Dr. W. Lucas
Accident. Construction.
T., L.
Feb. 9-11, 2004
Dr. P. Savage
Natural. Custody.
T., M.
Feb. 9-12, 2004
Dr. J. Cairns
Accident. Potassium Chloride injection.
T., M.
Sept. 26- Oct. 6, 2005
Dr. T. Wilson
Accident. Drowning. Child.
T., N.
May 2-16, 2005
Dr. K. Acheson
Natural. Custody. Provincial.
T., R.
Dec. 15-17, 2003
Dr. D. Wolski
Accident. Custody. Niagara Detention Centre.
T., S.
October 30 - November 7,2007
Dr. P. Clark
Undetermined. Custody. Police.
T., V.
June 29-July 10, 1998
Dr. F. Demanuele
Accident. Methadone.
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V
Deceased
Date of Inquest
Presiding Coroner
Summary of Inquest
V., A.
Nov. 6, 2008
Dr. D. Wolski
Accident. Construction.
V., C.
Sept. 16, 2008
Dr. B. Mainville
Accident. Construction.
V., H.
Oct. 17-27, 2005
Dr. B. Bechard
Natural. Health Care
V., J.
April 19-20, 2004
Dr. K. Smith
Accident. Construction.
V., M.
May 20- July 4, 2003
Dr. B. Porter
Natural. Health Care.
V., O.
Oct. 16 - Nov. 23, 2006
Dr. W. Lucas
Undetermined. Custody. Police.
V., S.
July 18-21, 2005
Dr. D. Legge
Suicide. Custody. Provincial.
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W
Deceased
Date of Inquest
Presiding Coroner
Summary of Inquest
W., A.
Oct. 18, 2007
Dr. C. Zides
Accident. Construction.
W., A.
Dec. 1, 2004
Dr. R. McIlquham
Natural. Custody
W., B.
July 7-11, 2003
Dr. W. Lucas
Natural. Custody. Durham Regional Police.
W., C.
Aug. 31 - Sept. 1, 2005
Dr. B. Bechared
Accident. Traffic. ATV
W., C.
Jan. 10-12, 2007
Dr. D. Legge
Accident. Mining.
W., D.
June 10-19, 2002
Dr. B. Bechard
Accident. 911 and EMS.
W., D.
Nov. 1-2, 2005
Dr. J. Ewen
Accident. Construction.
W., E.
June 25, 2008
Dr. R. McIlquham
Natural. Custody. Pittsburgh Institution.
W., G.
May 5-13, 2008
Dr. D. Eden
Accident. Suicide. Discretionary.
W., H.
May 12, 2003
Dr. J. Ewen
Natural. Custody. Maplehurst Correctional Facility.
W., J.
May 11, 2005
Dr. W. Everett
Accident. Construction.
W., J.
March 31-May 2, 2003
Dr. D. Evans
Accident. Fire. Home for the Aged.
W., L.
March 6-8, 2000
Dr. R. Isaac
Natural. Custody.
W., L.
Feb. 11, 2009
Dr. B. Mainville
Accident. Construction.
W., M.
Sept. 27-Oct. 19, 2004
Dr. A. McCallum
Accident. Traffic. Mental Health.
W., R.
Jan. 7-25, 2008
Dr. R. Isaac
Accident. Custody. Toronto Police.
W., R.
Sept. 28 - Oct. 4, 2005
Dr. B. Bechard
Natural. Health Care.
W., R.
Oct. 19, 2006
Dr. B. Bechard
Natural. Custody.
W., S.
Jan. 28, 2003
Dr. B. Mainville
Natural. Custody. Quinte Regional Detention Centre.
W., W.
March 1-11, 2004
Dr. J. Ewen
Accident. Smoke Inhalation. Firefighter procedures.
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Y
Deceased
Date of Inquest
Presiding Coroner
Summary of Inquest
Y., J.
Feb. 11, 2005
Dr. G. Watt
Natural. Custody.
Y., M.
Oct. 1-3, 2007
Dr. R. Isaac
Accident. Construction. Roofer.