OCC Inquest - Hagen 2017
Verdict of Coroner's Jury
Office of the Chief Coroner
The Coroners Act - Province of Ontario
Given name(s): David
Held at: Napanee
From: Oct. 19
To: Oct. 20, 2017
By: Dr. Gautam Walia, Coroner for Ontario
having been duly sworn/affirmed, have inquired into and determined the following:
Name of deceased: David Robert Hagen
Date and time of death: Sept. 17, 2015 at 7:12 a.m.
Place of death: Joyceville Institution, Kingston, ON
Cause of death: Heroin toxicity
By what means: Accident
(Original signed by: Foreperson)
The verdict was received on the 20 of Oct., 2017
Coroner's name: Dr. Gautam Walia
(Original signed by coroner)
We, the jury, wish to make the following recommendations:
Inquest into the death of:
David Robert Hagen
- Correctional Services of Canada to consider the implementation and use of full body scanners in all federal correctional institutions, with regards to all persons entering the institution.
- Continue to increase collaboration between Kingston Frontenac Lennox and Addington Public Health and local federal correctional institutions mandated to provide Coroner’s inquests in respect to inmate deaths, where appropriate, within a reasonable time period.