Ministry of the
Solicitor General

OCC Inquest - Cuthill 2019

Office of the Chief Coroner

Verdict of Coroner's Jury

Office of the Chief Coroner

The Coroners Act - Province of Ontario


Surname: Cuthill
Given name(s): Matthew Robert
Age: 27

Held at: 15 Bridge St., Belleville
From: March 19, 2019
To: March 20, 2019
By: Dr. Bob Reddoch
having been duly sworn/affirmed, have inquired into and determined the following:

Name of deceased: Matthew Robert Cuthill
Date and time of death: Sept. 9, 2016 at approximately 11:13 a.m.
Place of death: 3669 County Road 7, North Marysburgh Ward, Prince Edward County
Cause of death: Blunt force head injury
By what means: Accident

(Original signed by: Foreperson)


The verdict was received on March 20, 2019
Coroner's name: Dr. Bob Reddoch
(Original signed by coroner)


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


Inquest into the death of:

Matthew Robert Cuthill


Jury Recommendations

To  the Ontario Ministry of Labour:

  1. Jobs requiring use of heavy equipment/machinery, despite the size of the company and/or project cost, should be expected to register the job within a Ministry of Labour registry online. This registry would include but not be limited to:
    1. scope of work and project cost
    2. equipment and machinery to be utilized including make, model and intention of use
    3. names of employees or contracted workers to be working on the jobsite at any time during project.

    Electronic signature by the project owner binds the owner/company to the Occupational Health and Safety Act and Regulations. This record of file ensures the ministry is aware of all projects ongoing so they may choose to inspect, at random, a job site in Ontario.

  2. All construction workers should be mandated to take online education through the Ministry of Labour website instructing them on employee's responsibilities related to ingestion of alcohol, prescription drugs and legal recreational drugs. This would include rules for ingestion within x number of hours before working (example 12 hours), based on scientific expert opinion, where impairment could result in jeopardizing the safety of the workplace. This should be an annual expectation of all construction and tradespersons. A copy of completed education should be provided to those hiring employees or contracted workers prior to engaging in any paid work.