Office of the Chief Coroner

Verdicts and Recommendations from Inquests

List by Category (since January, 2009)

Updated to May 2009

Children's Deaths
Custody/ Police Involvement
Fire
Health Care/ Hospitals
Occupational/ Workplace
Recreational
Substance Abuse
Transportation
Other

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

Children’s Deaths

Deceased	Date of Inquest	Presiding Coroner	Summary of Inquest
E., E.	Jan. 12-15, 2009	Dr. R. Mann	Accident. Drowning. Summer Day Camp.

Custody/ Police Involvement

Deceased	Date of Inquest	Presiding Coroner	Summary of Inquest
B., D.	March 24-25, 2009	Dr. D. Legge	Natural. Custody. North Bay Jail.
B., D.	Jan. 5-7, 2009	Dr. D. Wolski	Accident. Custody. Hamilton-Wentworth Detention Centre.
B., H.	Jan. 29, 2009	Dr. D. Cooke	Natural. Custody. Kingston Penitentiary.
B., J.	Jan. 26-29, 2009	Dr. W. Lucas	Homicide. Custody. York Regional Police.
B., K.	May 13-14, 2009	Dr. J. Fedoruk	Suicide. Custody. Bluewater Health.
C., A.	April 27-29, 2009	Dr. D. Wolski	Accident. Custody. Niagara Police Service.
C., S.	March 4, 2009	Dr. R. Skinner	Homicide. Custody. Kingston Penitentiary.
D., R.	Feb. 4-5, 2009	Dr. S. Bodley	Suicide. Custody. Monteith Correctional Complex.
F., D.	Jan. 19-21, 2009	Dr. J. Stanborough	Accident. Custody.
G., C.	March 9-11, 2009	Dr. B. Porter	Accident. Custody. Hamilton Police.
H., D.	Feb. 9, 2009	Dr. D. Wolski	Natural. Custody. Hamilton-Wentworth Detention Centre.
H., R.	March 9-3, 2009	Dr. D. Evans	Natural. Custody. Toronto West Detention Centre.
L., P.	April 21-22, 2009	Dr. R. Skinner	Natural. Custody. Quinte Detention Centre.
M., I.	April 8, 2009	Dr. R. McIlquham	Natural. Custody. Kingston Penitentiary.
M., M.	Feb. 11, 2009	Dr. R. McIlquham	Natural. Custody. Kingston Penitentiary.
O., A. O., J.	March 2 – April 9, 2009	Dr. J. Edwards	Homicide. Father and son. Brantford Police.
R., C.	April 20-21, 2009	Dr. S. MacRae	Suicide. Custody. Algoma Treatment and Remand Centre.
P., J.	Feb. 23-25, 2009	Dr. S. McRae	Accident. Custody. Thunder Bay District Jail.

Fire

Deceased	Date of Inquest	Presiding Coroner	Verdict Recommendations Explanation	Summary of Inquest

Health Care/ Hospitals

Deceased	Date of Inquest	Presiding Coroner	Verdict Recommendations Explanation	Summary of Inquest

Occupational/ Workplace

Deceased	Date of Inquest	Presiding Coroner	Summary of Inquest
N., R.	Feb. 17-19, 2009	Dr. S. Bodley	Accident. Mining. Stobie Mines.
R., N.	Jan. 8-9, 2009	Dr. L. McNaughton-Filion	Accident. Construction.
S., P.	March 30-April 1, 2009	Dr. P. Charron	Accident. Construction. Electrocution.
W., L.	Feb. 11, 2009	Dr. B. Mainville	Accident. Construction.