Ministry of the
Solicitor General

OCC Inquest - Seremach 2015

Office of the Chief Coroner

Verdict of Coroner's Jury

Office of the Chief Coroner

The Coroners Act - Province of Ontario


Surname: Seremach
Given name(s): Elie
Age: 73

Held at: Windsor
From: Nov. 2, 2015
To: Nov. 4, 2015
By: Dr. J.C. Fedoruk
having been duly sworn/affirmed, have inquired into and determined the following:

Name of deceased: Elie Seremach
Date and time of death: Sept. 8, 2014 at 5:00 p.m.
Place of death: ICU at Windsor Regional Hospital -Ouellette Campus, 1030 Ouellette Ave. Windsor, ON
Cause of death: Spinal cord injury due to fractured C6 vertebra as a result of a fall
By what means: Accident

(Original signed by: Foreperson)


The verdict was received on Nov. 4, 2015
Coroner's name: Dr. J.C. Fedoruk, MD, LLB
(Original signed by coroner)


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


Inquest into the death of:

Elie Seremach


Jury Recommendations

To the Ministry of Labour:

  1. To require employers, as defined by the Occupational Health and Safety Act, to require all individuals hired on a construction project to show proof of certification in all relevant and current safety training pertaining to their trade.
  2. Consider the passage of Regulations that require that partially assembled or unsafe equipment be properly identified as such or stored in a manner that prevents the use or misuse of the equipment.
  3. That the number of random inspections on construction projects should be increased.
  4. Consider the passage of Regulations that require all workers, including occasional, seasonal and self-employed, shall contact the constructor or assigned supervisor, as defined by the Occupational Health and Safety Act, to notify him or her of their attendance on a construction project prior to commencing work.
  5. To develop Regulations that require all individuals working at heights to have annual or bi-annual medical reviews above an age to be determined after a review of Ministry of Labour data.

To both the Ministries of Labour and Education:

  1. Incorporate Working At Heights safety awareness training into the high school safety curriculum.