Ministry of Community Safety and Correctional Services :: Coroner

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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

April 2015 - Strategic Plan for Ontario’s Death Investigation System, 2015-2020

July 2013 - Review of Ornge Air Ambulance Transport Related Deaths

2011 - Investigation in to the Deaths of Four Residents of a Toronto Retirement Home

2011 - Death Review of the Youth Suicides at the Pikangikum First Nation

2009 - Drowning Report

Pedestrian Death Review

2009 - 2011 Office of the Chief Coroner Annual Report

  • 2005-2008 - available on request

2012 Patient Safety Review Committee Report

2013-14 Annual Report of the Geriatric and Long Term Care Review Committee

2013 - 2014 Reports of the Maternal and Perinatal Death Review Committee

2012 Report on Inquests

2014 Report of the Paediatric Death Review Committee and Deaths Under Five Committee

2013-14 Domestic Violence Death Review Annual Report