Ministry of the
Solicitor General

OCC Inquest Koopman 2018

Office of the Chief Coroner

Verdict of Coroner's Jury

Office of the Chief Coroner

The Coroners Act - Province of Ontario


Surname: Koopman
Given name(s): Eric
Age: 52

Held at: 59 Church Street, St. Catharines
From: July 24, 2018
To: July 27, 2018
By: Dr. Jennifer Tang
having been duly sworn/affirmed, have inquired into and determined the following:

Name of deceased: Eric Koopman
Date and time of death: November 21, 2011 at 1:05 a.m.
Place of death: St. Catharines General Hospital, St. Catharines, Ontario
Cause of death:  Multiple organ failure due to crush injury of the chest and abdomen
By what means: Accident

(Original signed by: Foreperson)


The verdict was received on the 27 of July, 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:

Eric Koopman


Jury Recommendations

  1. To the Ministry of Labour, we recommend an addition to the O. Reg 213/91 – Construction Projects regarding required training material for elevated work platforms, an additional subsection to section 147(2) that reads:
  • e)   instruction in the limitations and hazards of overhead obstructions.
  1. To the Ministry of Labour, we recommend that the ministry continue to issue appropriate hazard alerts in a timely manner, following all noteworthy critical injuries and fatalities.
  2. To the Ministry of Labour, we recommend that the ministry schedules blitzes to conduct physical inspections of the equipment to ensure compliance of O. Reg 213/91 – Construction Projects, Section 94 (1) (2).