OCC Inquest Koopman 2018
Verdict of Coroner's Jury
Office of the Chief Coroner
The Coroners Act - Province of Ontario
Given name(s): Eric
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:
- 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.
- 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.
- 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).