OCC Inquest - Foster 2018
Verdict of Coroner's Jury
Office of the Chief Coroner
The Coroners Act - Province of Ontario
Given name(s): Richard
Held at: Napanee
From: March 1
To: March 2, 2018
By: Dr. Jennifer Tang
having been duly sworn/affirmed, have inquired into and determined the following:
Name of deceased: Richard Foster
Date and time of death: September 3rd, 2016, 7:35 a.m.
Place of death: Collins Bay Minimum Security Federal Penitentiary
Cause of death: Heroin toxicity
By what means: Accident
(Original signed by: Foreperson)
The verdict was received on the 1 of March, 2018
Coroner's name: Dr. Jennifer Tang
(Original signed by coroner)
We, the jury, wish to make the following recommendations:
Inquest into the death of:
- All Correctional Services of Canada officers should receive formal training sessions on the recognition and treatment of opioid overdose, this should include training for the proper administration of naloxone (Narcan).
- Collins Bay Minimum Security Federal Penitentiary should have a central real-time electronic record for communication, documentation and recording of observations and comments available to Correctional Officers. Officers should be mandated to review these entries at the beginning of their shift.