Verdicts and recommendations - chronological

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Office of the Chief Coroner

Verdicts and Recommendations

Chronological List


Alphabetical list

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The Office of the Chief Coroner is now posting the verdicts and recommendations for all inquests from January 2014 forward.

There is no legal requirement for recommendations to be implemented.  Those who do receive recommendations ‎are asked to provide a response to the Office of the Chief Coroner indicating their actions taken, if any after one year of receipt.

Older verdicts and reccomendations, and responses to recommendations are available by request by e-mailing occ.inquiries@ontario.ca or calling 1-877-991-9959.


2017 Inquests
Deceased Inquest date(s) Coroner Summary
LOPES, Antonio Manuel Simoes Sept. 11-12, 2017 Dr. John Carlisle Accident. Blunt force trauma from fall. Construction.
MACISAAC, Michael July 17-Aug. 2, 2017 Dr. David Evans Homicide. Gunshot wound to the abdomen. Police.
WESLEY, Romeo July 4-20, 2017 Dr. David Cameron Accident. Struggle and restraint (chest compression, prone positioning, handcuffing) as well as agitation and trauma (pain) in a man with a KCNJ2 mutation with acute alcohol withdrawal/delirium tremens. Custody.
ROMERO ASTORGA, Francisco Javier June 12-15, 2017 Dr. William Lucas Accident. Fentanyl/methamphetamine overdose. Custody.
ASSIN, Gloria June 12-15, 2017 Dr. Michael Wilson Accident. Numerous blunt force injuries from a car crash. Police.
LOKU, Andrew June 5-30, 2017 Dr. John Carlisle Homicide. Gunshot wound. Police.
AFFLECK, Wayne June 5-7, 2017 Dr. Monique Moreau Accident. Electrocution.
PENNEY, Ronald May 29, 2017 Dr. David Eden Accident. Choking on food. Custody. Millhaven Penitentiary.
JAJKO, Andrew Michael May 23-25, 2017 Dr. John Ewen Accident. Construction. Blunt force head trauma.
MITCHELL, Steven May 15-16, 2017 Dr. M. Reinders Accident. Construction. Blunt force head injury.
BRUNT, Adam; KENDALL, Gary May 9-25, 2017 Dr. William Lucas Accident. Cold water rescue training. Firefighters.
LACELLE, Neil May 1-3, 2017 Dr. Ray Sawkiw Suicide. Custody.
SRIGLEY, Robert April 24-26, 2017 Dr. John Carlisle Undetermined. Complications from multiple gunshot wounds. Police.
TORCHIA, Riccardo April 10-20, 2017 Dr. David Evans Accident. Multiple trauma due to motorcycle/truck collision.
KOZDRA, Jozef April 10, 2017 Dr. William Lucas Suicide. Custody. Maplehurst Correctional Complex.
BENOIT, Michael March 20-27, 2017 Dr. Roger Skinner Suicide. Custody.
MACKAY, Jordy March 9-10, 2017 Dr. Gordon Watt Suicide. Custody. Warkworth Institution.
MACKENZIE, Richard Edward March 8, 2017 Dr. Gordon Watt Accident. Heroin toxicity. Custody. Warkworth Institution.
BERNIER, Rejean March 7-9, 2017 Dr. John Earle Accident. Traumatic asphyxia. Construction.
FARRELL, Joshua March 6-9, 2017 Dr. James Kovacs Electrocution in the workplace.
ISKANDAR, Sarmad Feb. 27-March 3, 2017 Dr. Monique Moreau Accident. Blunt force injury. Construction.
FREITAS, Arlindo Jan. 16-18, 2017 Dr. W. Lucas Accident. Multiple blunt force injuries. Construction.
GUERIN, Denis; SNOW, Angus Jan. 31-Feb. 1, 2017 Dr. Bob Reddoch Suicide. Custody. Joyceville Penetentiary.
ST. AMOUR, Ryan Feb. 1, 2017 Dr. John Ewan Accident. Fall.
TU, Minh Quyen Feb. 6, 2017 Dr. William Lucas Homicide. Stab wound to the chest. Custody.
WOODS, Joseph Gerald Jan. 17-18, 2017 Dr. James Kovacs Suicide. Custody.

2016 Inquests
Deceased Inquest date(s) Coroner Summary
SEVEN FIRST NATION YOUTHS:
ANDERSON, Jethro
BUSHIE, Reggie
HARPER, Robyn
MORRISSEAU, Kyle
PANACHEESE, Paul
STRANG, Curran
WASASSE, Jordan
Oct. 5, 2015-June 28, 2016 Dr. David Eden First Nation youths who died after leaving their remote home communities to attend secondary school in Thunder Bay.
SAMPSON, Katelynn Angel Nov. 9, 2015-April 29, 2016 Dr. William Lucas Homicide. Blunt force injuries. Child.
YOUNAS, Junaid Jan. 11-12, 2016 Dr. Roger Skinner Accident. Fall from a height. Construction.
FAGAN, Ronald
PIERRE, Jacy
Jan. 18-27, 2016 Dr. Michael Wilson Accident. Methadone toxicity. Custody.
LALONDE, Nicholas Jan. 27-29, 2016 Dr. John Ewan Accident. Fall. Construction.
BADAKHSHAN, Farshad Jan. 27-Feb. 2, 2016 Dr. Robert Boyko Suicide. Custody. Toronto West Detention Centre.
PERRY, Stephen Feb. 22-25, 2016 Dr. Ray Sawkiw Accident. Crushing injuries. Mining.
TOWNSEND, Andrew March 3, 2016 Dr. Dan Dufour Suicide. Custody. Kingston Penitentiary.
LISLE, Diane March 7-9, 2016 Dr. Daniel Dufour Accident. Acute amitriptyline toxicity. Overdose.
UNKERSKOV-CHINNERY, Andreas March 7-14, 2016 Dr. William Lucas Homicide. Gunshot wound to abdomen.
NELSON, Marc Robert March 8-9, 2016 Dr. Bob Reddoch Accident. Blunt force injuries. Construction.
JACOB, Manuel Antonio March 21, 2016 Dr. Reuven Jhirad Accident. Construction.
HARRISON, Holly, TOWIE, Mari-Lee, TWIDDY, Benjamin, DUNSMUIR, Kevin, DUNSMUIR, Jennifer, DUNSMUIR Robert, DUNSMUIR, Cameron March 29-April 29, 2016 Dr. David Evans Accident. Smoke inhalation.
PRYCE, Ian Glendon April 4-21, 2016 Dr. John Carlisle Homicide. Gunshot wound to back.
SMITH, Gerald April 12, 2016 Dr. Shane Teper Suicide. Custody. Quinte Detention Centre.
CORDEIRO, Rui April 18-20, 2016 Dr. Robert Boyko Accident. Construction.
DUNN, Joseph Charles "Todd" May 2-9, 2016 Dr. David Eden Suicide. Custody. Niagara Detention Centre.
GRAY, Brian May 2-11, 2016 Dr. Roger Skinner Homicide. Gunshot wound to torso.
MASCHKE, Wayne John May 2-3, 2016 Dr. John Carlisle Accident. Construction.
CARBY, Jermain Anthony May 9-26, 2016 Dr. William Lucas Homicide. Gunshot wound to torso. Police.
PICCININ, Emilio May 9-11, 2016 Dr. Joel Ross Accident. Construction
GARRY, Shane May 24-30, 2016 Dr. Bonnie Burke Suicide. Custody. Toronto East Detention Centre.
CRAWFORD, Christopher May 30-June 1, 2016 Dr. Monique Moreau Accident. Construction. Crushing asphyxia.
COASTER, Christopher Dennis June 8-10, 2016 Dr. Michael Wilson Natural. Custody. Delirium tremens. Thunder Bay Jail.
GLOGNOLI, Massimiliano June 13-15, 2016 Dr. S. Teper Accident. Construction. Multiple trauma.
YUSKOW, Sr., David Brian June 13-15, 2016 Dr. David Cameron Accident. Mining. Massive crushing injury to torso.
ALARIE, Robert, ANDERSON, Chaine, HADI, Aram Aug. 9-10, 2016 Dr. David Eden Accident. Custody. Fentanyl/multiple drug toxicity.
SERRA, Giuseppe Aug. 15-19, 2016 Dr. Curtis Fedoruk Accident. Construction. Severe blunt force chest trauma.
OSAWE, Eric Aiyevbekpen Sept. 12-20, 2016 Dr. John Carlisle Accident. Police. Gunshot wound.
NORMAN, Mark Sept. 19-28, 2016 Dr. Roger Skinner Accident. Construction. Compression asphyxia.
CONROY, Robert Sept. 20, 2016 Dr. David Eden Homicide. Stab wound. Custody.
McKENZIE, Shawn Sept. 22-23, 2016 Dr. David Eden Homicide. Stab wound to the chest. Custody. Collins Bay Penitentiary.
ROSS, John Caleb Oct. 3-13, 2016 Dr. David Evans Suicide. Gunshot wound to the chest. Police.
RIZZO, Edward Russell Oct. 5-6, 2016 Dr. John Ewan Accident. Construction. Blunt force injuries to head and torso in combination with traumatic asphyxia.
WILSON, Justin Oct. 11-12, 2016 Dr. Steven Bodley Accident. Massive multi-system trauma. Mining.
CLAUSE, Daniel Nickolas Oct. 26-Nov. 2, 2016 Dr. John Carlisle Homicide. Multiple gunshot wounds. Police.
BUTT, James Nov. 1-2, 2016 Dr. Michael Martin Accident
ANDERSON, Lena Mary Nov. 1-10, 2016 Dr. Michael B. Wilson Suicide.
HIGH, Jamie Nov. 7-11, 2016 Dr. Elizabeth Urbantke Natural. Sudden death from delirium/alcohol withdrawal, complicated by left ventricular hypertrophy.
SEATON, Trevor Nov. 21-24, 2016 Dr. David Cameron Accident. Combined drug (fentanyl, cocaine, oxycontin) intoxication. Custody.
CUI, Dong Bin Nov. 28-29, 2016 Dr. Michael Martin Accident. Complications of blunt head trauma. Construction.
DOUCETTE, David Andrew Dec. 5-14, 2016 Dr. J. Carlisle Homicide. Gunshot wound to neck. Police.
PRINDIBLE, Lawrence William Dec. 14-16, 2016 Dr. Michael Martin Suicide. Custody. Central East Correctional Centre.

2015 Inquests
Deceased Inquest date(s) Coroner Summary
BROOKS, Perry Dale Jan. 15-16, 2015 Dr. S. Bodley Accident. Construction. Crush injury.
SMITH, Rebecca Ann Jan. 29-30, 2015 Dr. David Cameron Accident. Construction. Fall.
WALKER, Malcolm Dean Feb. 9-17, 2015 Dr. J. Carlisle Homicide. Gunshot wound. Police.
PENNY, Luke March 2-6, 2015 Dr. Michael Martin Accident. Crush asphyxiation due to blunt force trauma.
ANGUS, Ross March 3-5, 2015 Dr. Daniel Dufour Accident. Multiple blunt force injuries.
COLE, Shawn Dwight March 23-April 2, 2015 Dr. Bonnie Burke Natural. Epilepsy. Custody
STINELLIS, Luigi March 30-31, 2015 Dr. Jack Stanborough Accident. Construction zone. Vehicle.
THOMPSON, Donald Percival April 20-27, 2015 Dr. J. Carlisle Homicide. Gunshot wound.
FRAM, Jordan and CHENIER, Jason Richard April 20-May 1, 2015 Dr. David Eden Accident. Stobie Mine.
BARNETT, Scott Gordon May 6, 2015 Dr. Gordon Watt Homicide. Poisoning.
DRUMMOND, Joseph May 8, 2015 Dr. Gordon Watt Accident. Crush asphyxia. Construction.
STRINGER, Rowan May 19-June 3, 2015 Dr. Louise McNaughton-Filion Accident. Traumatic brain injury.
MRUGALA, Krzysztof May 25-28, 2015 Dr. Robert Boyko Accident. Head Trauma. Construction.
GEORGE, Alex John Boniface June 1-2, 2015 Dr.Shelagh McRae Accident. Construction.
MITCHELL, Guy July 6-24, 2015 Dr. Jack Stanborough Accident. Drowning. Hypothermia.
TRUDEAU, Jordan Lee July 14-15, 2015 Dr. Gordon Watt Homicide. Gunshot wound. Millhaven Penitentiary.
WILLARD, Paul Sept. 8-9, 2015 Dr. D. Eden Natural. Streptoccal sepsis and hepatitis C associated liver disease. Custody.
KISS, Joseph Allan, REED, Adam Kenneth Sept. 14-17, 2015 Dr. Steven Bodley Suicide. Custody.
ARCIA, Onil Oct. 26-28, 2015 Dr. James Kovacs Accident. Construction.
BRANCO, Jose- PDF, 143 kb Oct. 27-30, 2015 Dr. Mary Beth Bourne Accident. Fall. Construction.
KING, Trevor David- PDF, 137 kb Nov. 2-3, 2015 Dr. David Cameron Accident. Head trauma. Mining.
SEREMACH, Elie - PDF, 79 kb Nov. 2-4, 2015 Dr. J.C. Fedoruk Accident. Spinal cord injury. Construction.
PATTERSON, Keith- PDF, 139 kb Nov. 2-6, 2015 Dr. G. Rick Mann Suicide. Hanging. Custody.
CIMPOESU, Emanuel- PDF, 65 kb Nov. 12-13, 2015 Dr. Mary Beth Bourne Accident. Construction.
ENNIS, Jermaine- PDF, 65 kb Nov. 16-17, 2015 Dr. Shane Teper Accident. Construction.
SWAIN, Richard- PDF, 138 kb Nov. 17-23, 2015 Dr. Maarthen Reinders Natural. Waypoint Centre for Mental Health Care.
JEBO, Potros – PDF, 65 kb Nov. 23, 2015 Dr. M. Moreau Accident. Massive trauma with crushing injury to torso. Mechanical asphyxia. Construction.
HILL, John Gerrard– PDF, 28 kb Dec. 7, 2015 Dr. Reuvan Jhirad Accident. Blunt force trauma to the chest. Fall. Construction.
HAWLEY, James Gearld- PDF, 72 kb Dec. 7-17, 2015 Dr. Gordon Watt Homicide. Pneumonia. Starvation. Infected bed sores.
PARSONS, Sean- PDF, 133 kb Dec. 15, 2015 Dr. Reuven Jhirad Accident. Heroin and diazepam toxicity. Custody.
MIRON, Rene- PDF, 134 kb Dec. 22, 2015 Dr. Dan Dufour Accident. Choking.

2014 Inquests
Deceased Inquest date(s) Coroner Summary
BALDWIN, Jeffrey – PDF, 92 kb Sept. 9, 2013-Feb. 14, 2014 Dr. P. Clark Homicide. Child abuse. Chronic starvation.
ELIGON, Michael
JARDINE-DOUGLAS, Reyal
KLIBINGAITIS, Sylvia – PDF, 57 kb
Oct.15, 2013-Feb. 12, 2014 Dr. D. Eden Homicide. Custody. Police.
SPRAGUE, Adam – PDF, 53 kb Oct. 16, 2013-May 7, 2014 Dr. J. Stanborough Accident. Custody. Police.
BELANGER, Gerard – PDF, 32 kb Dec. 10, 2013-Jan. 17, 2014 Dr. D. Cooke Accident. Construction. Blunt force trauma.
FITZPATRICK, Blake – PDF, 28 kb Jan. 13-14, 2014 Dr. S. Teper Natural. Construction. Hyperthermia.
KIM, Carl – PDF, 27 kb Jan. 15-16, 2014 Dr. J. Kovacs Homicide. Custody. Police.
DEW, Jonathan – PDF, 36 kb Jan. 20-24, 2014 Dr. G. R. Mann Natural. Windsor Jail. Cardiac arrest.
MCGILLIVARY, Charles – PDF, 32 kb Feb. 3-27, 2014 Dr. D. Cass Accident. Custody. Police.
HERGERT, Michael – PDF, 34 kb Feb. 6-7, 2014 Dr. H. Kassam Accident. Construction. Blunt Force Injuries.
NOLET, Michel – PDF, 29 kb March 3-4, 2014 Dr. C. Muir Accident. Construction. Fall.
GO, Gerald – PDF, 31 kb March 24-27, 2014 Dr. D. Eden Suicide. Custody. Toronto East Detention Centre.
LEIGHTON, Eric – PDF, 41 kb March 24-April 3, 2014 Dr. L. McNaughtion-Filion Accident. School. Explosion.
SMITH, Randy – PDF, 28 kb March 31-April 2, 2014 Dr. D. Eden Accident. Custody. Don Jail.
LONG, Benjamin – PDF, 27 kb April 7-8, 2014 Dr. D. Eden Accident. Construction. Crush asphyxia.
HOFSTETTER, Allen – PDF, 27 kb April 8-9, 2014 Dr. J. Ewen Accident. Construction. Head injury.
KIMBERLEY, Craig – PDF, 27 kb April 22-25, 2014 Dr. P. Clark Accident. Custody. Warkworth Institution.
ROKE, Matthew – PDF, 41 kb April 22-May 7, 2014 Dr. R. Skinner Homicide. Custody. Police.
VECCHIO, James – PDF, 31 kb April 29-May 8, 2014 Dr. S. Bodley Accident. Construction. Pelvic crush.
MINTY, Douglas – PDF, 30 kb May 6-June 19, 2014 Dr. W. Lucas Homicide. Custody. Police.
FLORES-LUMANGLAS, Peter – PDF, 30 kb May 13-20, 2014 Dr. B. Burke Homicide. Custody. Police.
BLONDIN, Yves – PDF, 28 kb May 28, 2014 Dr. G. Watt Accident. Construction. Massive trauma.
MESIC, Mladen (Steve) – PDF, 32 kb June 2-16, 2014 Dr. J. Stanborough Undetermined. Custody.Police.
SEGO, Zlatko – PDF, 28 kb June 9-17, 2014 Dr. J. Ross Suicide. Custody. Don Jail.
DUBE, Ryan – PDF, 31 kb June 23-27, 2014 Dr. J. Stanborough Custody. Police. Accident.
BLACKBIRD, Kendra – PDF, 33 kb Aug. 11-15, 2014 Dr. C. Fedoruk Accident. Custody. Windsor Jail.
CAMPBELL, Steven – PDF, 34 kb Sept. 8-10, 2014 Dr. J. Ross Accident. Construction. Fall.
IRVIN, Edward – PDF, 29 kb Sept. 10-11, 2014 Dr. E. Urbantke Accident. Construction. Fall.
DUDA, Wieslaw – PDF, 31 kb Sept. 15 - Oct. 8, 2014 Dr. J. Carlisle Custody. Police. Homicide.
AGANEH, Kulmie Hussein – PDF, 83 kb Sept. 18-Dec. 19, 2014 Dr. David Evans Natural. Schizophrenia.
MARCHIONE, Renato – PDF, 32 kb Oct. 7-9, 2014 Dr. M. B. Bourne Accident. Construction. Crush Injury.
TABATABAEI, Kaveh – PDF, 44 kb (see also TOREIHI, Nasrin – PDF, 29 kb) Oct. 20-31, 2014 Dr. W. Lucas Homicide. Gunshot wounds.
TOREIHI, Nasrin – PDF, 29 kb (see also TABATABAEI, Kaveh – PDF, 44 kb) Oct. 20-31, 2014 Dr. W. Lucas Custody. Homicide. Police.
FERNANDEZ, David – PDF, 34 kb Oct. 20 – 27, 2014 Dr. R. Boyko Accident. Construction. Fall
INGRAM, Gregory Jonathan – PDF, 27 kb Oct. 22, 23, 24 to Nov. 19th, 2014 Dr. Robert Reddoch Accident. Choking. Custody.
CLAUSE, Robert Howard – PDF, 40 kb Oct. 27-Nov. 10, 2014 Dr. Jack Stanborough Accident. Oxycodone toxicity. Custody.
BLACK, Timothy James – PDF, 27 kb Oct. 31, 2014 Dr. Gordon Watt Accident. Mixed drug toxicity. Custody.
ZOIDIS, Christopher Maxwell – PDF, 28 kb Nov. 3-6, 2014 Dr. G. Rick Mann Accident. Crush trauma. Construction.
ROY, Richard – PDF, 29 kb Nov. 3-4, 2014 Dr. D. Eden Accident. Mining.
BERNARD, Dominic – PDF, 29 kb Nov. 24-25, 2014 Dr. Shelagh M. McRae Accident. Mining.
FLEURY, Donald Wayne – PDF, 131 kb Nov. 24-26, 2014 Dr. G. Rick Mann Accident. Construction.
BERRY, Frank Anthony – PDF, 29 kb Nov. 24-28, 2014 Dr. J. Carlisle Homicide. Gunshot wounds to the torso.
GRENIER, Renaud-Louis – PDF, 30 kb Dec. 1-2, 2014 Dr. John Earle Suicide. Custody. Ottawa-Carleton Detention Centre.
COFFEY, Christopher – PDF, 131 kb Dec. 8-12, 2014 Dr. John Ewen Natural. Excited delirium. Police.
CATUNTO, John – PDF, 132 kb Dec. 8-12, 2014 Dr. John Ewen Accident. Blunt force trauma. Construction.
BOUMAN, Jamie Edward – PDF, 65 kb Dec. 16-17, 2014 Dr. Gordon Watt Suicide. Acute asphyxia. Millhaven Penitentiary.

2013 Inquests
Deceased Inquest date(s) Coroner Summary
SMITH, Ashley Sept. 20, 2012-Dec. 19, 2013 Dr. J. Carlisle Homicide. Custody. Grand Valley Institute for Women.
MILES, Charles Jan. 7-8, 2013 Dr. P. Clark Accident. Mines. Head injury.
HAMEL, Mario Jan. 21-23, 2013 Dr. E. Urbantke Suicide. Custody. Police.
KITELEY, James Feb. 11-12, 2013 Dr. J. Stanborough Accident. Custody. Police.
LABERGE, Normand Feb. 11-13, 2013 Dr. G.R. Mann Accident. Mines. Crushing.
FOUGERE, Wayne Feb. 26-27, 2013 Dr. D. Wolski Suicide. Custody. Hamilton-Wentworth Detention Centre.
PHILLIPS, Larry April 15-17, 2013 Dr. R. Jhirad Accident. Construction. Crushing.
MILLS, Jeremy April 22-24, 2013 Dr. T. Wilson Accident. Occupational. Crushing.
EHRENREICH, Sean April 29, 2013 Dr. G. Watt Accidental. Custody. Quinte Detention Centre.
FIRMAN, Aron April 29-July 23, 2013 Dr. W. Lucas Accident. Custody. Police.
SYLVESTER, Gordon
VEINOTT, Brian
May 1-14, 2013 Dr. D. Huyer Suicide. Custody. Central North Correctional Centre.
DAVIS, Edwin May 21-23, 2013 Dr. M. Wilson Accident. Construction. Drowning.
FAWCETT, Randall June 3-4, 2013 Dr. D. Wolski Accident. Custody. Niagara Detention Centre.
CHANTHACHACK, Phonesay June 4-13, 2013 Dr. J. Stanborough Homicide. Custody. Police.
DUQUETTE, James June 18-19, 2013 Dr. M. Reinders Accident. Construction. Asphyxia.
REAUME, Steven and NUVAQIQ, Tommy July 8, 2013 Dr. G. Watt Suicide. Custody. Kingston Penitentiary.
LASCELLE, Jamie July 8-9, 2013 Dr. R. Reddoch Accident. Construction. Electrocution.
POFFLEY, Jason and CAISSIE, Joseph July 10, 2013 Dr. G. Watt Suicide. Custody. Joyceville Institution.
NAKASHOOK, Charlie and WHITE, Mark July 15, 2013 Dr. G. Watt Suicide. Custody. Kingston Penitentiary.
OROZCO, Vincente July 18, 2013 Dr. G. Watt Suicide. Custody. Millhaven.
ARGUETA, Gustavo July 29-31, 2013 Dr. D. Legge Accident. Construction. Fall.
KEEPING, Dennis Sept. 9-10, 2013 Dr. M. Moreau Accident. Construction. Fall.
NADARASA, Jeyakumar Sept. 23-30, 2013 Dr. J. Stanborough Accident. Traffic. Blunt Force Trauma.
HUGHES, David Sept. 30-Oct. 2, 2013 Dr. R. Boyko Accident. Construction. Blunt force trauma.
MOONIAS, Bruce Oct. 21-Nov. 6 2013 Dr. D.H. Evans Suicide. Custody. Police.
ESCOTO, Takis Oct. 28-31 2013 Dr. J.C. Fedoruk Accident. Construction. Traumatic internal injuries.
ESSERY, Mark Oct. 29-Nov. 5 2013 Dr. R. Boyko Accident. Custody. Police.
SZABO, Attila Nov. 20, 2013 Dr. J. Ewen Accident. Constuction. Fall.
PRESCOD, Keith Nov. 25-28, 2013 Dr. B. Burke Accident. Custody. Police
SCHWARTZ, Erich Dec. 9, 2013 Dr. C. Zides Accident. Construction. Blunt Force Trauma.
RICE, Darcy
MITCHELL, Daniel
Dec. 9-19, 2013 Dr. T. Wilson Suicide. Custody. Sarnia Jail.
ANTONIAK, Lee Dec. 18-19, 2013 Dr. D. Legge Accident. Construction. Blunt force trauma.

2012 Inquests
Deceased Inquest date(s) Coroner Summary
MANON, Junior Alexander Jan. 16-May 8, 2012 Dr. D. Cass Custody. Accident. Police. Restraint asphyxia.
HEARST, James Jan 24-March 13, 2012 Dr. A. Lauwers Natural. Heart disease.
HEAGLE, Douglas Jan 30-Feb. 1, 2012 Dr. D. Eden Homicide. Custody. Police shooting.
PLOURDE, Albert Jan 30-Feb. 1, 2012 Dr. G. Watt Accident. Construction. Blunt force injuries.
SKINNER, Christopher Feb. 13-24, 2012 Dr. J. Stanborough Accidental. Acute ethanol poisoning.
CHEECHAM, Sarah Feb. 21-24, 2012 Dr. P. Clark Natural. Custody. Central East Correctional Centre.
WEBSTER, Jan Feb. 21-24, 2012 Dr. J. C. Fedoruk Natural. Custody. Windsor Jail.
KUIPERS, Gregory March 5-6, 2012 Dr. P. Clark Suicide. Custody. Warkworth Institution.
PHAM, Vu Duy
PRESTON, Frederick Phillip
March 26 – April 13, 2012 Dr. G. Mann Homicide. Custody. Police shooting.
KONONOW, George April 10-12, 2012 Dr. M. B. Bourne Natural. Custody. Police. Duodenal ulcer.
MCLEAN, Robert
FLEMING, Hugh
DYMENT, Genneth
BLAIN, Vera Kathleen
April 16-May 25, 2012 Dr. D. Huyer Fire. Muskoka Heights Retirement home.
JONES, Evan Thomas April 30-May 11, 2012 Dr. J. Stanborough Homicide. Custody. Police shooting.
DOUGAN, Patrick Ivan May 1-2, 2012 Dr. S. McRae Accident. Construction. Blunt impact
ASSINEWAI, Marlan May 7-8, 2012 Dr. G. Watt Homicide. Custody. Millhaven Penitentiary.
MARTINS, Kenneth May 8, 2012 Dr. D. Wolski Accident. Construction. Hyperthermia.
CAMARA, Dinalte Ricardo May 9-10, 2012 Dr. D. Evans Accident. Construction. Head trauma.
OSAE, Emmanuel May 23-June 12, 2012 Dr. B. Burke Natural. Custody. Toronto Jail.
DOUCETTE, Patrick June 11, 2012 Dr. D. Wolski Accident. Construction. Head injury
GIESBRECHT, Jacob June 18-20, 2012 Dr. G.R. Mann Accident. Construction. Head trauma.
MELTON, Dennis June 18-July3, 2012 Dr. M. Reinders Homicide. Custody. Police shooting.
TURK, Dwayne June 21, 2012 Dr. S.C. Bodley Suicide. Custody. North Bay Jail.
NESBITT, Murray July 23-25, 2012 Dr. G. R. Mann Accident. Mines. Asphyxia.
SCHNEIDER, Adam Aug. 7-9, 2012 Dr. C. Fedoruk Accident. Construction. Electrocution.
HORAN, Paul Aug. 14-22, 2012 Dr. T. Wilson Suicide. Custody. Police.
PAGAVATHSING, Mark Sept. 19-20, 2012 Dr. M.B. Bourne Accident. Construction. Head injuries.
SCHAAFSMA, Logan Oct. 16-29, 2012 Dr. W. J. Ewen Natural. Custody. Police.
MENDS, Lawrence Oct. 17-19, 2012 Dr. D. Cooke Suicide. Custody. Warkworth Institution.
GARTLAN, Patrick Oct. 22-23, 2012 Dr. H. Kassam Accident. Construction. Abdominal trauma.
CHASE, Karyn Oct. 22-Nov. 7, 2012 Dr. D. Cass Natural. Health care.
MCALLISTER, Earl Nov. 1-2, 2012 Dr. J. Stanborough Suicide. Custody. Police.
SCHILCHER, Ernie Nov. 19-21, 2012 Dr. R. Isaac Natural. Cutody. Toronto West Detention Centre.
AUDETTE, Jeremie Nov. 26-Dec. 6, 2012 Dr. L. McNaughton-Fillion Accident. Drowning. Unlicensed daycare.
HAMILTON, Philip Guy
RAY, Robert Graham
Nov. 26-Dec. 18, 2012 Dr. D. Evans Accident. Custody. Toronto Don Jail.
LABRECHE, Mathieu Dec. 3-4, 2012 Dr. M. Wilson Accident. Construction. Head injury.
JONES, Scott Dec. 10-11, 2012 Dr. G. Watt Homicide. Custody. Millhaven.
MUTLU, Halit Dec. 10-12, 2012 Dr. B. Burke Accident. Construction. Head trauma.
MORRISEAU, Christopher Dec. 12-14, 2012 Dr. G. Watt Custody. Accidental. Joyceville.

2011 Inquests
Deceased Inquest date(s) Coroner Summary
KARWAL, Shiv Feb. 7-8, 2011 Dr. S. Teper Accident. Construction. Fell while moving a snow fence. Blunt force injuries.
VERO, Petro Feb. 22-24, 2011 Dr. D. Sedran Accident. Construction. Blunt force craniocerebral trauma.
BOCSKEI, Glen Feb. 22-March 4, 2011 Dr. D. Wolski Accident. Custody. Niagara Detention Centre. Found unresponsive in cell. Untreated schizophrenia, acute psychotic episode.
SCHAEFFER, Levi Feb. 28-March 11, 2011 Dr. D. Evans Homicide. Custody. Confrontation with police. Gunshot wound to the torso.
SZAMKO, Jan March 21-25, 2011 Dr. D. Cass Natural. Custody. Toronto West Detention Centre. Transferred from Immigration Holding Centre. Tense pericardial effusion.
KEOUGH, Rodney March 29-30, 2011 Dr. B. Burke Accident. Construction. Fell from balcony. Blunt force injuries.
PETRALIA, Gino April 4-12, 2011 Dr. W. J. Lucas Homicide. Custody. Confrontation with police. Gunshot wound to the torso.
PASCALL, Joseph April 4-6, 2011 Dr. R. Boyko Accident. Construction. Run over by grader. Crush injuries.
ANDERSON, Diane, SIMPSON, Tayjah, WHITTAKER, Jahziah April 6-June 6, 2011 Dr. D.H. Evans Accident. Fire. Public housing unit. Child playing with lighter. Inhalation of smoke and fire gases.
COLLIER, James April 18, 2011 Dr. P.A. Clark Natural. Custody. Warkworth Institution. Coronary atherosclerosis. Hypertension.
PAPIN, Larry April 20 and 27, 2011 Dr. B. Mainville Natural. Custody. Brockville Psychiatric Hospital. Gastric hemorrhage.
OUIMET, Michel April 26-28, 2011 Dr. L. McNaughton-Filion Accident. Construction. Fell from ladder. Blunt force trauma.
MANION, Barry May 3-4, 2011 Dr. R. Sawkiw Custody. Suicide. Monteith Correctional Complex. Hanging.
ILUNGA, Edine May 6-20, 2011 Dr. R. Skinner Accident. Drowning. Wave Pool. Kanata Leisure Centre.
DONKERS, John May 16-18, 2011 Dr. J. C. Fedoruk Natural. Custody. Sarnia jail. Coronary artery disease.
MELLOR, Paul May 16-19, 2011 Dr. G. R. Mann Suicide. Custody. Stratford Jail. Hanging.
REILLY, Sean May 16-26, 2011 Dr. W. Lucas Accident. Custody. Struggle with police. Excited delirium.
LATTO, David May 25-26, 2011 Dr. D. A. Legge Accident. Construction. Ice groomer went through ice. Drowning.
BERTRAND, Donna Marie
KING, Dustin Nicholas
May 30-June 5, 2011 Dr. R. Skinner Suicide. Accident. Drugs and alcohol. Mixed drug toxicity. Oxycontin overdose.
STRAUGHAN, Laura June 6-15, 2011 Dr. G. R. Mann Natural. Custody. Elgin Middlesex Dentention Centre. Bacterial pneumonia.
ROGERS, Justin June 6-Sept 8, 2011 Dr. D.W. Cooke Accident. Mines. Asphyxiation.
YOUTH June 7-July 22, 2011 Dr. D. Huyer Suicide. Custody. Hanging.
PITRUZZELLA, Leonardo June 23-24, 2011 Dr. M. Bourne Accident. Construction. Run over by truck. Crush injuries.
MARTTILA, Arvo June 20-22, 2011 Dr. D. Evans Custody. Accident. Oxycodone, Carbamazepine, Clonazepam intoxication
WAUGH, Robert July 4, 2011 Dr. G. Watt Natural. Custody. Providence Care. Bronchopneumonia.
LITHGOW, Terrence July 4-8, 2011 Dr. R. Isaac Suicide. Custody. Toronto West Detention. Hanging.
DRYSDALE, Kenneth Aug. 29-Sept 7, 2011 Dr. G.R. Mann Homicide. Custody. Elgin Middlesex Detention Centre. Blunt trauma.
LYON, Kenneth Sept. 6, 2011 Dr. C. Zides Suicide. Custody. Police. Multiple injuries.
MAMBELLA, Paul Sept 8-9, 2011 Dr. D. Wolski Accident. Construction. Electrocution.
EBBERS, Bradley Sept. 26-27, 2011 Dr. L. McNaughton-Filion Accident. Construction. Pinned against loader. Abdominal injuries.
CHARBONNEAU, Phillip Sept. 26-Oct. 6, 2011 Dr. D. Evans Homicide. Custody. Gunshot wound.
ANZOVINO, Reilly Kennedy Oct. 31-Dec. 21, 2011 Dr. J. Stanborough Accident. Motor vehicle collision. Blunt force trauma.
HIGGINS, Brian Nov. 21-22, 2011 Dr. S. Teper Accident. Construction. Multiple injuries
BLUE, Lawrence William Nov. 23, 2011 Dr. B. Mainville Natural. Custody. Brockville Psychiatric Hospital.
BIEDERMAN, Preston Dec. 16-17, 2011 Dr. C. Muir Accident. Construction. Blunt force and crushing injuries.

2010 Inquests
Deceased Inquest date(s) Coroner Summary
BLACKWIND, Martin Arthur Jan. 18-27, 2010 Dr. P. Clark Suicide. Custody.
REEDER, Benjamin Earl Jan. 25-26, 2010 Dr. D. Wolski Accident. Custody. Brantford Jail.
REID, Matthew David Feb. 1 – March 2, 2010 Dr. J. Edwards Homicide. In foster home.
CHRISTIAN, Duane Michael Feb. 8-25, 2010 Dr. J. Carlisle Homicide. Custody.
MICHIE, Douglas Feb. 19, 2010 Dr. R. McIlquham Natural. Custody. Kingston Penitentiary.
HERBERT, Ryan Feb. 22, 2010 Dr. J. Stanborough Accident. Construction.
SAUNDERS, Daniel Feb. 25, 2010 Dr. J. Stanborough Natural. Custody. Hamilton Wentoworth Detention Centre.
CLOUTIER, Dennis March 8-10, 2010 Dr. S. Bodley Accident. Mines. Hoyle Pond Mine.
MALLETTE, Edmond Joseph March 12, 2010 Dr. G. Watt Natural. Custody. Ottawa Carleton Detention Centre.
LAFOND, Leo March 22-24, 2010 Dr. R. Sawkiw Accident. Mines.
BEDARD, John March 24, 2010 Dr. G. Watt Natural. Custody. Kingston Penitentiary.
HANSEN, Kurth March 29-30, 2010 Dr. L. McNaughton-Filion Accident. Construction.
MACKENZIE, Terrence Matthew March 30-31, 2010 Dr. R. Mann Custody. Natural. Elgin-Middlesex Detention Centre.
HOWARD, Wayne April 12-14, 2010 Dr. M. Reinders Natural. Custody. Central North Correctional Centre.
YIM, Chum April 12-15, 2010 Dr. B. Burke Accident. Custody.
AL-NADHIR, Alwy April 12-20, 2010 Dr. D.H. Evans Homicide. Custody.
COENS, Jacobus April 26, 2010 Dr. C. Zides Accident. Construction. In trench.
ROTOLO, Orlando Vince April 26- Sept. 29, 2010 Dr. D. S. Eden Accident. Custody.
GERBER, Kyle Jacob May 3-5, 2010 Dr. G. R. Mann Accident. Construction.
LIVINGSTON, Scott May 3-5, 2010 Dr. R. Boyko Accident. Construction.
THOMAS, Trevor May 12-14, 2010 Dr. B.A. Burke Accident. Custody. Toronto West Detention Centre.
MARKOCKI, Stephen May 26-27, 2010 Dr. D. Eden Accident. Construction.
CARALIN, Sara June 2-28, 2010 Dr. A.E. Lauwers Suicide. Hanging.
HOWDEN, Willis June 7-8, 2010 Dr. J.R. Swain Accident. Mines.
GOMES, Brian June 7-9, 2010 Dr. D. Sedran Accident. Construction.
WEEKS, Johnathon June 7-16, 2010 Dr. W. Lucas Accident. Custody.
LUNDY, Steven June 14-16, 2010 Dr. R. Jhirad Accident. Construction.
DOYLE, Terence June 16, 2010 Dr. R. Skinner Natural. Custody.
MAJOR, James June 21-23, 2010 Dr. G. Watt Accident. Construction.
THOMPSON, Darryl June 21-24, 2010 Dr. P. Clark Accident. Custody.
ATKINSON, Evelina June 24, 2010 Dr. D. Eden Natural. Custody. Grand Valley Institute for Women.
HILL, Roger June 28-30, 2010 Dr. J. Stanborough Accident. Mines. Ridgemount Stone Quarry.
RUSCICA, Salvatore Michael July 5-6, 2010 Dr. W. Lucas Accident. Custody.
DHADDA, Major Singh July 19-21, 2010 Dr. S. Teper Accident. Construction.
CUTHBERTSON, Stephen Scott July 26-28, 2010 Dr. R. Jhirad Accident. Construction.
STEVENS, David Troy Aug. 3-4, 2010 Dr. P.A. Clark Accident. Custody.
VERNIER, Roch Aug. 26, 2010 Dr. G. Watt Natural. Custody.
DAVIS, Gary George Aug. 27, 2010 Dr. G. Watt Custody. Natural. Kingston Penitentiary.
ROCHFORD, Timothy Aug. 31, 2010 Dr. G. Watt Natural. Custody. Kingston Penitentiary.
CLAIRMONT, Normal Sept. 1, 2010 Dr. G. Watt Natural. Custody. Kingston Penitentiary.
WEBER, Lorne Sept. 1, 2010 Dr. J. Ewen Accident. Construction.
PHILION, Maurice Sept. 2, 2010 Dr. G. Watt Natural. Custody. Kingston Penitentiary.
GRIEVES, William Daniel Sept. 9-10 & Oct. 25-26, 2010 Dr. J. Stanborough Accident. Construction.
TAYLOR, Jeramie Sept. 15-17, 2010 Dr. D.M. Wolski Accident. Custody. Niagara Detention Centre.
COLLINS, Samuel John Sept. 20-21, 2010 Dr. G. Watt Accident. Construction.
HART, William Thomas Sept. 20-Oct. 5, 2010 Dr. G. Churchill Accident. Custody.
DEBASSIGE, Byron Richard Sept. 27-Oct. 8, 2010 Dr. J. Carlisle Custody. Homicide. Mental illness.
WREGGITT, Dylan Sept. 29 – Oct. 1, 2010 Dr. D.A. Legge Accident. Custody. Fort Francess District Jail.
DUFOE, Lyle Everett Oct. 4-6, 2010 Dr. R. Sawkiw Accident. Mines. Xstrata Kidd Creek Mine.
MARREEL, Jeffrey Oct. 12 – 15, 2010 Dr. J. Stanborough Accident. Custody.
GJORSESKI, Ladomir Oct. 18-26, 2010 Dr. D. Cass Accident. Construction.
BELL, Jeffrey Oct. 26-27, 2010 Dr. J.C. Fedoruk Accident. Construction.
SANITA, Judy Aileen Nov. 29- Dec. 2, 2010 Dr. B. Burke Accident. Custody.
DEVOS, John Nov. 18, 2010 Dr. J. Kovacs Natural. Custody. Maplehurst Correctional Complex.
HOLNESS, John Nov. 22-24, 2010 Dr. B. Burke Natural. Custody. Toronto East Detention Centre.
PILON, Ronald Nov. 29, 2010 Dr. D. Eden Accident. Construction.
WEIMER, Hans Peter Dec. 6-7, 2010 Dr. J.R. Swain Accident. Construction.
POZENEL, Dominik Dec. 6-8, 2010 Dr. G.R. Mann Natural. Custody.

2009 Inquests
Deceased Inquest date(s) Coroner Summary
BOURQUE, Dallas Jan. 5-7, 2009 Dr. D. Wolski Accident. Custody. Hamilton-Wentworth Detention Centre.
RUEL, Normand Jan. 8-9, 2009 Dr. L. McNaughton-Filion Accident. Construction
EMUN, Eyobel Jan. 12-15, 2009 Dr. R. Mann Accident. Drowning. Summer day camp.
FOURNIER, Darin Jan. 19-21, 2009 Dr. J. Stanborough Accident. Custody.
BLACK, Jeffrey Jan. 26-29, 2009 Dr. W. Lucas Homicide. Custody. York Regional Police.
BUXBAUM, Helmuth Jan. 29, 2009 Dr. D. Cooke Natural. Custody. Kingston Penitentiary.
DALTON, Roger Feb. 4-5, 2009 Dr. S. Bodley Suicide. Custody. Monteith Correctional Complex.
HARRISON, Douglas Feb. 9, 2009 Dr. D. Wolski Natural. Custody. Hamilton-Wentworth Detention Centre.
MCLEAN, Mathew Allan Feb. 11, 2009 Dr. R. McIlquham Natural. Custody. Kingston Penitentiary.
WINTERS, Larry Feb. 11, 2009 Dr. B. Mainville Accident. Construction.
NESBITT, Robert Feb. 17-19, 2009 Dr. S. Bodley Accident. Mining. Stobie Mines.
PIERRE, Jacy Duncan Feb. 23-25, 2009 Dr. S. McRae Accident. Custody. Thunder Bay District Jail.
OSIDACZ, Andrew
OSIDACZ, Jared
March 2-April 9, 2009 Dr. J. Edwards Homicide. Brantford Police. Father and son.
COOPER, Shawn March 4, 2009 Dr. R. Skinner Homicide. Custody. Kingston Penitentiary.
WESLEY, Ricardo
GOODWIN, Jamie
March 6-May 21, 2009 Dr. D. Eden Accident. Custody. Police holding facility.
GREEN, Christopher March 9-11, 2009 Dr. B. Porter Accident. Custody. Hamilton Police.
HAVERLOCK, Robert March 9-13, 2009 Dr. D. Evans Natural. Custody. Toronto West Detention Centre.
BISO, David March 24-25, 2009 Dr. D. Legge Natural. Custody. North Bay Jail.
GRAHAM, Trevor Colin March 24-29, 2009 Dr. J. Ewan Homicide. Custody.
SZABO, Peter March 30-April 1, 2009 Dr. P. Charron Accident. Construction. Electrocution.
MECHKO, Iourii April 8, 2009 Dr. R. McIlquham Natural. Custody. Kingston Penitentiary.
ROBERTSON, Christopher Kelly April 20-21, 2009 Dr. S. MacRae Suicide. Custody. Algoma Treatment and Remand Centre.
LEPPARD, Penelope Susan April 21-22, 2009 Dr. R. Skinner Natural. Custody. Quinte Detention Centre.
CAMPBELL, Andrew Roderick April 27-29, 2009 Dr. D. Wolski Accident. Custody. Niagara Police Service.
D'ALIMONTE, Rocco April 28, 2009 Dr. J. Ewen Accident. Construction.
RIVIERA, Roland May 6-11, 2009 Dr. D. Evans Undetermined. Custody.
BALTZER, Kenneth May 13-14, 2009 Dr. D.J. Fedoruk Suicide. Custody. Bluewater Health.
VAUGHAN, Gerald Michael May 19-20, 2009 Dr. G. Churchill Natural. Custody.
FOLDI, James May 25-July 15, 2009 Dr. J. Kovacs Accident. Custody.
BLAKEMORE, Kevin Malcolm May 27, 2009 Dr. G. Watt Natural. Custody. Kingston Penitentiary.
HAUGLAND, John May 27-28, 2009 Dr. Legge Accident. Construction. Drowning.
DASILVA, Jose June 1-4, 2009 Dr. R. Jhirad Accident. Custody. Police.
ARCHER, Vincent June 4, 2009 Dr. B. Mainville Suicide. Custody. Joyceville Institution.
PANKIEWICZ, Wladyslaw June 4, 2009 Dr. B. Burke Accident. Construction.
CHAPMAN, David Alexander June 10-11, 2009 Dr. S. Teper Suicide. Custody. Maplehurst Correctional Complex.
DAPONTE, Mark
DEFILIPPIS, Nazzareno
June 15-19, 2009 Dr. J. Carlisle Accident. Construction.
DIMASCIO, Raffaele June 17-18, 2009 Dr. M. Bourne Accident. Construction.
MCGILL, Joel
SECA, Avery
June 22-24, 2009 Dr. R. Sawkiw Accident. Construction.
DEVGAN, Ravi June 29, 2009 Dr. G. Watt Natural. Custody. Frontenac Institution.
PARKINSON, Calvin July 15-16, 2009 Dr. D. Legge Accident. Liberty Mine.
ARNOLD, Evan July 27-29, 2009 Dr. D. Huyer Homicide. Custody.
PAUPST, Leroy July 29, 2009 Dr. R. Skinner Homicide. Custody. Joyceville Institution.
DELORME, David Aug. 24, 2009 Dr. B. Bechard Natural. Custody. Millhaven Penitentiary.
PAQUETTE, Bernard Emilard Aug. 25, 2009 Dr. R. Caskey Natural. Custody. Warkworth Institution.
GOSBEE, Gordon Andrew Aug. 26, 2009 Dr. B. Bechard Natural. Custody. Bath Institution.
WALLACE, Tanice Sept. 1-14, 2009 Dr. J. Carlisle Natural. Custody. Police.
LUSSIER, David Sept. 8 – 10, 2009 Dr. P. Clark Suicide. Custody. Police.
HONYUST, Aaron Sept. 14-16, 2009 Dr. D. Huyer Accident. Construction.
IANNUCCI, Ulderico Sept. 21-22, 2009 Dr. B. Bechard Accident. Construction.
IORDACHE, Cristian Sept. 21-28, 2009 Dr. D. Sedran Homicide. Custody.
MALTAR, Harold James Sept. 21 – Oct. 6, 2009 Dr. D. Evans Suicide. Custody.
WELDON, Timothy George Oct. 1, 2009 Dr. B. Bechard Natural. Custody. Providence Care Mental Health Services.
SCHRADER, Gary Wayne Oct. 13, 2009 Dr. R. Skinner Natural. Custody. St. Lawrence Valley Correctional and Treatment Centre.
SMICKLE, Leon Oct. 13-14, 2009 Dr. B. Burke Accident. Custody.
WALKER, Michael James Oct. 19-20, 2009 Dr. G. Mann Accident. Construction.
CAPALBO, Robert Oct. 21, 2009 Dr. R. McIlquham Natural. Custody. Kingston Penitentiary.
HOWARD, Judith Oct. 21, 2009 Dr. J. Ewen Natural. Custody. Grand Valley Institution for Women.
HAVEMAN, Peter Oct. 21-22, 2009 Dr. D. Legge Accident. Construction.
GALLIMORE, Keith Barrington Oct. 26-27, 2009 Dr. R. Jhirad Natural. Custody.
WALENT, Brett Alan Oct. 27-28, 2009 Dr. B. Bechard Suicide. Custody. Millhaven.
PELLETIER, Daniel Nov. 17-18, 2009 Dr. J. Carlisle Accident. Construction.
BUCKTON, Donald Nov. 23-24, 2009 Dr. P. Savage Accident. Construction.
GARNER, Derek David Nov. 23-24, 2009 Dr. P. Clark Natural. Custody. Central East Detention Centre.
ROSS, Patrick Nov. 24 – 25, 2009 Dr. S. Bodley Accident. Kidd Creek Mine.
MCAULAY, Philip Nov. 30-Dec. 4, 2009 Dr. D. Cooke Accident. Nepton Mine.
COULTER, Ryan Dec. 1–3, 2009 Dr. J. Carlisle Natural. Custody. Centre for Addiction and Mental Health.
ETLI, Haci Dec. 7, 2009 Dr. D. Wolski Accident. Construction.
DUFTY, Scott Dec. 7-8, 2009 Dr. P. Clark Homicide. Custody. Millbrook Correctional Centre.
SAING, Soun Dec. 7-9, 2009 Dr. J. Carlisle Homicide. Custody.
MAXWELL, Dwight Dec. 16, 2009 Dr. G. Watt Natural. Custody. Kingston Penitentiary.
POULIN, Pierre Dec. 16-17, 2009 Dr. D. Legge Accident. Construction.
LESWAY, Keith Dec. 16-18, 2009 Dr. L. McNaughton- Filion Accident. Construction.

2008 Inquests
Deceased Inquest date(s) Coroner Summary
KOEKMAN, Andrew Jan. 7-9, 2008 Dr. R. Mann Suicide. Custody. Walkerton Jail.
WALKER, Robert Jan. 7-25, 2008 Dr. R. Isaac Accident. Custody. Toronto Police.
STEACY, Jason Jan. 21-30, 2008 Dr. G. Watt Homicide. Custody. OPP.
SYLVESTRE, Charles Jan. 23, 2008 Dr. R. McIlquham Natural. Custody. Kingston Penitentiary
BELDMAN, David Jan. 29-Feb. 7, 2008 Dr. J. Stanborough Natural. Psychiatric hospital.
CRUPI, Carmelo Jan. 31-Feb. 1, 2008 Dr. G. Watt Natural. Custody. Ottawa Police.
BOUCHARD, Keith Feb. 20, 2008 Dr. L. McNaughton-Fillion Natural. Kingston Penitentiary.
HAILE-SELLASSIE, Girma Feb. 26-27, 2008 Dr. J. Kovacs Accident. Construction.
FLAYLER, Kenneth March 3-5, 2008 Dr. D. Wolski Accident. Construction. Electrocution.
MCINTOSH, Basil March 10-13, 2008 Dr. D. Evans Natural. Custody. Waterloo Regional Police.
ANDERSON, Wayne March 17-19, 2008 Dr. W.T. Buckton Natural. Custody. Sarnia Police.
MOORE, Douglas March 19-25, 2008 Dr. D. Evans Suicide. Custody. Maplehurst Correctional Complex.
DUKIC, Bryan March 25-28, 2008 Dr. C. Fedoruk Accident. Custody. Windsor Police.
FARROWS-SHELLEY, William April 21-22, 2008 Dr. P. Clark Natural. Custody. Warkworth Institution.
RYAN, Andrew April 21-22, 2008 Dr. P. Charron Accident. Construction.
CAMPSALL, David April 21-23, 2008 Dr. A. McCallum Accident. Custody. Quinte Detention Centre.
CAMPEAU, Raymond April 21-25, 2008 Dr. R. Sawkiw Accident. Mine. Podolsky Mine.
WHITE, Glenn May 5-13, 2008 Dr. D. Eden Accident. Suicide. Discretionary.
CAMERON, James May 7, 2008 Dr. B. Mainville Suicide. Custody. Kingston Penitentiary.
MCDONALD, Sean May 7, 2008 Dr. R. McIlquham Natural. Custody. Kingston Penitentiary.
CANCAR, Filip May 12-14, 2008 Dr. D. Sedran Suicide. Custody. Toronto Police.
LAUGHLIN, Brian May 12-15, 2008 Dr. S. McRae Accident. Mines. Inco.
INGLETON, Jesse May 16, 2008 Dr. D. Eden Accident. Construction. Heavy Machine Operator.
APPLETON, Robert May 22, 2008 Dr. R. Caskey Natural. Custody. Warkworth Institution.
DASILVA, Timothy May 27-28, 2008 Dr. D. Schooling Accident. Construction.
KNIGHT, Jerry June 3-13, 2008 Dr. W. Lucas Homicide. Excited Delerium. Peel Police.
FRASER, Mary June 16-26, 2008 Dr. D. H. Evans Natural. Custody. Vanier Centre for Women.
SAKAKEESIC, Anthony June 17-19, 2008 Dr. G. Churchill Undetermined. Custody. Central North Correctional Centre.
PARENT, Gordon June 18, 2008 Dr. R. McIlquham Natural. Custody. Quinte Detention Centre.
WEEDS, Edward June 25, 2008 Dr. R. McIlquham Natural. Custody. Pittsburgh Institution.
GRANT, Ronald July 22, 2008 Dr. B. Burke Natural. Custody. Toronto East Detention Centre.
CONTRERAS, Victor July 23, 2008 Dr. R. McIlquham Natural. Custody. Kingston Penitentiary.
MCGILLVARY, Richard July 28-29, 2008 Dr. M. Bourne Accident. Construction. Labourer.
MALLOTT, Franklin Aug. 27, 2008 Dr. B. Mainville Natural. Custody. Kingston Penitentiary.
PATERSON, Colin Sept. 3, 2008 Dr. D. Huyer Natural. Custody. Penetanguishene Mental Health Centre.
JEANVEAU, Normand Sept. 8-11, 2008 Dr. S. McRae Accident. Custody. Sudbury Police.
DAVID, Brian Sept. 8, 12, 2008 Dr. D. Huyer Natural. Custody. Central North Correctional Centre.
MONGEON, Donald Sept. 8-23, 2008 Dr. A. McCallum Homicide. Custody.
COOLEN, Gary Sept. 11, 2008 Dr. R. Mann Natural. Custody. Elgin Middlesex Detention Centre.
SUTO, Michael Sept. 15-16, 2008 Dr. M. Renders Accident. Construction.
JAMES, Jeffrey Sept. 15-Oct. 10, 2008 Dr. A. E. Lauwers Natural. Custody. Centre for addiction and Mental Health.
VENNE, Claude Sept. 16, 2008 Dr. B. Mainville Accident. Construction.
SHAH, Tariq Sept. 22-23, 2008 Dr. L. McNaughton-Filion Accident. Custody. Ottawa Carleton Detention Centre.
PADULO, Charles Sept. 29-Oct. 7, 2008 Dr. G. Watt Accident. Drowning. Recreational scuba diving.
BOVINGDON, Eugene Oct. 14-17, 2008 Dr. D. George Accident. Construction. Drowning.
COOKE, Dennis Oct. 20-21, 2008 Dr. R. Boyko Suicide. Custody. Maplehurst Correctional Complex.
ROBINSON, Adeyere Oct. 20-21, 2008 Dr. D. H. Evans Natural. Custody. Toronto Police.
PUGH, Clifford Oct. 29-31, 2008 Dr. P. Savage Accident. Institutional Care. Penetanguishene.
PATON, David Nov. 3, 2008 Dr. R. G. Caskey Natural. Custody. Warkworth Institution.
GOURLEY, Robert Nov. 3-6, 2008 Dr. D. Sedran Accident. Custody. Toronto Police.
MATTHEWS, Howard Nov. 3-6, 2008 Dr. D. Huyer Natural. Custody.
KNIGHTON, James Nov. 4-7, 2008 Dr. S. Teper Accident. Construction.
LEMIEUX, Andre Nov. 5-7, 2008 Dr. L. McNaughton-Filion Natural. Custody. Brockville Psychiatric Hospital.
VALE, Andre Nov. 6, 2008 Dr. D. Wolski Accident. Construction.
SCOTT, John Nov. 12-13, 2008 Dr. J. Ewen Accident. Custody. OPP.
BEDELL, Rodney Nov. 12-14, 2008 Dr. R. Jhirad Accident. Construction. Roofer.
BOYLE, Dennis Nov. 17-19, 2008 Dr. R. Mann Accident. Construction. Roofer.
MEDEIROS, Paulo Nov. 17-21, 2008 Dr. D. H. Evans Undetermined. Custody. Toronto Police.
DOUGLAS, Michael Nov. 17-28, 2008 Dr. J. Stanborough Homicide. Custody. Sarnia Police.
GRAHAM, John Dec. 1, 2008 Dr. G. Watt Natural. Custody. Maplehurst Correctional Complex.
LITTLE, Wallace Dec. 1-3, 2008 Dr. J. Stanborough Natural. Custody. OPP.
BRUCE, Robert Dec. 3, 2008 Dr. B. Mainville Homicide. Custody. Collins Bay Institution.
FOURNIER, Cory Dec. 8, 2008 Dr. W. Lucas Accident. Construction.
GATES, Ronald Dec. 9-10, 2008 Dr. D. Schooling Suicide. Custody. Maplehurst Correctional Complex.
TOPLEY, Kenneth Dec. 10-11, 2008 Dr. W. Lucas Accident. Construction.
STEELE, Adam Dec. 15, 2008 Dr. J. Stanborough Accident. Custody. Waterloo Regional Police.
KOPERNIAK, Eugene Dec. 16-17, 2008 Dr. D. Wolski Homicide. Custody. Hamilton-Wentworth Detention Centre.
NEELY, Ronald Dec. 19, 2008 Dr. G. Watt Accident. Custody. Waterloo Regional Police.

2007 Inquests
Deceased Inquest date(s) Coroner Summary
WHITE, Christopher Jan. 10-12, 2007 Dr. D. Legge Accident. Mining.
FRANCIS, Peter Jan. 29-Feb. 7, 2007 Dr. J. Edwards Homicide. Custody. Toronto Police shooting.
CORBETT, Ronald Jan. 31, 2007 Dr. A. McCallum Natural. Custody.
BONNEAU, Robert Feb. 12-13, 2007 Dr. J. Carlisle Natural. Custody.
OLINSKIE, Christopher Feb. 27-June 20, 2007 Dr. R. McIlquham Accident. Custody. Kingston Penitentiary.
SLANCO, Michael March 5-7, 2007 Dr. D. Sedran Natural. Custody. Toronto Jail.
PAYETTE, Kevin March 19, 2007 Dr. S. McRae Accident. Mining
GROZELLE, Joseph March 19-April 26, 2007 Dr. D. Eden Undetermined. Discretionary. Military college.
NUGENT, Lee Roy March 21, 2007 Dr. B. Mainville Natural. Custody. Collins Bay Penitentiary.
MITCHELL, Steven April 10-11, 2007 Dr. D. Giddens Suicide. Custody. Don Jail.
JOHNSON, Steven April 17, 2007 Dr. D. Schooling Natural. Custody. Maplehurst Correctional Complex.
BARBER, Mark April 25, 2007 Dr. J. Carlisle Natural. Custody. Metro West Detention Centre.
MCCARTHY, Sarah April 27, 2007 Dr. A. McCallum Accident. Traffic. Alcohol.
MARSKELL, John May 2-3, 2007 Dr. A. Lauwers Natural. Custody. Toronto West Detention Centre.
ELSIDDIQ, Gasim May 14, 2007 Dr. M. Reingold Natural. Custody. Metro West Detention Centre
GRGAS, Mate May 22-23, 2007 Dr. S. Teper Accident. Construction.
ENGLISH, Robert May 31, 2007 Dr. B. Bechard Natural. Custody. St. Lawrence Valley Correctional Centre
LOBKO, Igor June 5-7, 2007 Dr. D. Legge Accident. Mining. Kirkland Lake Gold Mine.
BUDGELL, Christine June 11-19, 2007 Dr. W. Lucas Undetermined. Custody. Durham Regional Police.
MITCHELL, Leonard June 14, 2007 Dr. J. Deacon Natural. Custody. Bath Institution.
HATTON, Robert June 18-21, 2007 Dr. B. Mainville Homicide. Custody. Ottawa-Carleton Regional Treatment Centre.
SPIELMACHER, Grant June 25-27, 2007 Dr. D. Wolski Accident. Custody. Police.
DUBOIS, Raymond July 9-13, 2007 Dr. D. Mutrie Suicide. Custody. Thunder Bay Jail.
RICHARDSON, David Aug. 29, 2007 Dr. R. McIlquham Natural. Custody. Kingston Penitentiary.
SANDFORD, James Sept. 4-7, 2007 Dr. J. Stanborough Accident. Construction. Elevator.
CHRISTOU, Nicholas Sept. 11-13, 2007 Dr. D. Sedran Accident. Construction.
LAUZON, Matthieu Sept. 11-14, 2007 Dr. D. Evans Accident. Custody. Barrie Police Service.
SOLIS, Augusto Sept. 17- Oct. 2, 2007 Dr. A. Lauwers Accident. Discretionary. Building collapse.
DUPONT, Lori
DANIEL, Marc
Sept. 24 – Dec. 11, 2007 Dr. A. McCallum Homicide. Suicide. Discretionary. Workplace violence. Domestic violence.
KEATING, Michael Sept. 25-27, 2007 Dr. M. Bourne Accident. Construction.
YAKYMOVYCH, Mykhaylo Oct. 1-3, 2007 Dr. R. Isaac Accident. Construction. Roofer.
MALEK, Bogden Oct. 2-3, 2007 Dr. J. Ewen Accident. Construction. Fall from roof.
DENNISON, Deborah Oct 9-10, 2007 Dr. J. Carlisle Accident. Custody. Toronto West Detention Centre.
MICHAUD, Stephane Oct. 11-31, 2007 Dr. B. Bechard Accident. Custody. Ottawa Airport.
WEAVER, Albert Oct. 18, 2007 Dr. C. Zides Accident. Construction.
MULDER, Dirk Oct. 29, 2007 Dr. R. Jhirad Natural. Custody. Maplehurst Correctional Complex.
TRUDEAU, Sean Oct. 30-Nov. 7, 2007 Dr. P. Clark Undetermined. Custody. Police.
LAMOND, Chad Nov. 5, 2007 Dr. R. Sawkiw Accident. Mining.
CHRISTOPHER-REID, O'Brien Nov. 5-Dec. 14, 2007 Dr. J. Edwards Homicide. Custody. Toronto Police Service.
EARLEY, Stephen Nov. 7, 2007 Dr. B. Mainville Suicide. Custody. Joyceville Institution.
GAGNE, Ronald Nov. 13-16, 2007 Dr. D. Schooling Suicide. Custody. Maplehurst Correctional Complex.
HIPSON, Michael Nov. 13-22, 2007 Dr. J. Stanborough Accident. Construction.
BARNES, Gerard Nov. 26-28, 2007 Dr. R. Mann Accident. Construction.
LIEFSO, Kell Dec. 10-11, 2007 Dr. J. Stanborough Suicide. Custody. Owen Sound Jail.
CIPOLLONE, Vincenzo Dec. 13, 2007 Dr. D. George Natural. Custody. Beaver Creek Institution.
FERNANDES, Joseph Dec. 17-18, 2007 Dr. D. Schooling Natural. Custody. Maplehurst Correctional Complex.
FRIVALT, George Dec. 17-19, 2007 Dr. R. Skinner Accident. Custody. Owen Sound Jail.

2006 Inquests
Deceased Inquest date(s) Coroner Summary
ST CROIX, Richard Jan. 9-10, 2006 Dr. D. Schooling Accident. Construction.
SMART, David Jan. 12-27, 2006 Dr. R. Isaac Accident. Custody. Mimico Correctional Centre.
HYPOLITE, John Jan. 25, 2006 Dr. R. McIlquham Natural. Custody.
CARUSO, Joseph Jan. 30-Feb. 9, 2006 Dr. J. Edwards Natural. Custody.
LAURIER, Brian Feb. 14, 2006 Dr. A. McCallum Accident. Custody.
SEGUIN, Loic Feb. 24,2006 Dr. G. Watt Accident. Construction.
NUGENT, Braeden March 6, 2006 Dr. J. Deacon Accident. Custody. Methadone.
ROLFE, Kevin March 20-21, 2006 Dr. R. Isaac Natural. Custody. Don Jail.
PAULIN, Rene March 27-28, 2006 Dr. J. Ewen Suicide. Custody.
BLAIR, James March 27-April 5, 2006 Dr. D. Evans Natural. Custody.
SUTTON, Andrea April 25-28, 2006 Dr. A.E. Lauwers Natural. Custody.
MONTGOMERY, Patrick April 26-27, 2006 Dr. D. Wolski Suicide. Custody.
BEIRNES, Steven April 27-28, 2006 Dr. J. Deacon Suicide. Custody.
BURTON, John May 3, 2006 Dr. P. Savage Natural. Custody.
NOAH, Harold May 3, 2006 Dr. R. McIlquham Natural. Custody.
REODICA, Jeffrey May 8-Oct. 13, 2006 Dr. B. Porter Homicide. Custody. Police.
GAREL, Elliott May 11, 2006 Dr. P. Savage Natural. Custody. Oakridges Mental Health Centre.
ORSER, Mark June 5-7, 2006 Dr. R. Mann Natural. Custody. Owen Sound Police Service.
BARKER, Jamie June 14-July16, 2006 Dr. T. Wilson Accident. Construction. Ambassador Bridge.
MARTIN, Jonas June 19-20, 2006 Dr. D. Schooling Accident. Construction
KOLISNYK, Michael June 19-22, 2006 Dr. D. Legge Homicide. Custody. Thunder Bay Police.
EGYPT, Leonard June 26-27, 2006 Dr. D. Giddens Natural. Custody.
COUTTS, Burns June 26-30, 2006 Dr. G. Watt Suicide. Custody. Ottawa Police.
MACKINNON, Tyrell June 28, 2006 Dr. B. Bechard Natural. Custody.
FLEXMAN, Andrew July 25, 2006 Dr. B. Bechared Accident. Construction.
MORASUTTI, Sergio Sept. 13-16, 2006 Dr. B. Lauwers Accident. Construction.
MANSHIP, David Sept. 22-25, 2006 Dr. G. Watt Suicide. Custody.
MCNEIL, Karl Sept. 27, 2006 Dr. B. Mainville Homicide. Custody.
CARINGI, Enrico Oct. 3-5, 2006 Dr. J. Edwards Accident. Construction.
VASS, Otto Oct. 16-Nov. 23, 2006 Dr. W. Lucas Undetermined. Custody. Police.
THOMPSON, Christian Oct. 18, 2006 Dr. J. Deacon Natural. Custody
WILSON, Robert Oct. 19, 2006 Dr. B. Bechard Natural. Custody.
MALESKA, Susan Oct. 23-24, 2006 Dr. B. Bechard Accident. Custody.
DOJETS, Alois Oct. 30, 2006 Dr. B. Bechard Natural. Custody.
HATT, Wade Oct. 30-Nov. 3, 2006 Dr. A. McCallum Accident. Drugs. Methadone.
MANCHESTER, Allen Oct. 30-31, 2006 Dr. S. McRae Accident. Construction.
JACKPINE, Rodney Nov. 1, 2006 Dr. R. McIlquham Suicide. Custody.
NOVAK, Stephen Nov. 27, 2006 Dr. T. Gillmore Natural. Custody.
REID, Ronald Nov. 17, 2006 Dr. R. McIlquham Natural. Custody.
BOZIC, Mikael Dec. 5-12, 2006 Dr. J. Ewen Natural. Custody.
BLACK, Jermaine Dec. 14-20, 2006 Dr. A. Lauwers Natural. Custody.
BODEN, Wayne Dec. 20, 2006 Dr. R. McIlquham Natural. Custody.

2005 Inquests
Deceased Inquest date(s) Coroner Summary
MONAHAN, Larry
WEST, Kenneth
Jan. 17-19, 2005 Dr. T. Wilson Accident. Construction.
CASWELL, Moira Jan. 17-25, 2005 Dr. D. Eden Accident. Snow grooming machine.
BEGIN, John Jan. 20, 2005 Dr. E. Gardiner Accident. Construction.
MILLER, Garry Jan. 26, 2005 Dr. R. McIlquham Natural. Custody. Kingston Penitentiary.
PAIANO, Antonio Jan. 27-28, 2005 Dr. K. Smith Accident. Construction.
CASA VERDE NURSING HOME
EL-ROUBI, Ezzeldine
LOPEZ, Pedro
Jan. 31-April 18, 2005 Dr. D. Evans Homicide. Nursing home.
JOLIN, Guy Feb. 7-14, 2005 Dr. D. Wolski Accident. Mining.
BLAIS, Dennis Feb. 7-March 3, 2005 Dr. P. Clark Suicide. Psychiatric institution.
BARRETT, Kenneth Feb. 8-10, 2005 Dr. J.R. Swain Accident. Construction.
SMYTH, James Feb. 9-10, 2005 Dr. D. Wolski Accident. Construction. Electrocution.
YENSEN, Jeffrey Feb. 11, 2005 Dr. G. Watt Natural. Custody.
SPARKS, Roger Feb. 14, 2005 Dr. G. Watt Natural. Custody.
K., M. (youth) Feb. 14-21, 2005 Dr. D. Eden Suicide. Custody. Sprucedale Youth Centre.
REID, Percy Feb. 21-23, 2005 Dr. R. Boyko Accident. Construction.
DIPLOCK, Drew Feb. 28, 2005 Dr. D. Wolski Suicide. Custody. Brantford Jail.
CLEMENT, James
CLEMENT, Ryan
Feb. 28-March 3, 2005 Dr. D. Cooke Accident. Construction. Electrocution.
LAVASSEUR, Albert March 2, 2005 Dr. R. McIlquham Natural. Custody. Bath Institution.
BAKER, Cyril March 16-17, 2005 Dr. R. Chivers Accident. Construction on highway.
COASTER, Kenneth March 16-18, 2005 Dr. D. Legge Suicide. Custody. OPP.
DAVIDSON, William March 23-April 12, 2005 Dr. A. McCallum Accident. Custody. OPP
HANNAN, Michael March 29-April 1, 2005 Dr. J. Ewen Accident. Occupational.
FAIRSERVICE, Terry April 4-6, 2005 Dr. D. Legge Accident. Mining.
FAUSTINI, Paolo April 4-6, 2005 Dr. D. Wolksi Accident. Construction.
BISSCHOPS, Robert April 4-8, 2005 Dr. S. McRae Accident. Custody. Sudbury Jail.
BENJAMIN, Troy April 6-13, 2005 Dr. W. Lucas Natural. Custody. Peel Regional Police.
BORKA, Ernesto April 11-12, 2005 Dr. W. Ewan Accident. Custody. Maplehurst Correctional Complex.
NAKIC, Tamara April 18-29, 2005 Dr. W. Lucas Natural. Health care. Diabetes.
TALLON, Daniel April 19-20, 2005 Dr. R. McIlquham Suicide. Custody. Federal.
MEERE, Arthur April 27, 2005 Dr. R. Chivers Natural. Custody. Hamilton Detention Centre
TOPEY, Negus May 2-16, 2005 Dr. K. Acheson Natural. Custody. Provincial.
LAMONDAY, Peter May 2-13, 2005 Dr. T. Wilson Accident. Custody. London Police Service.
HAWKINS, Richard May 3-5, 2005 Dr. D. Schooling Accident. Construction. Electrocution.
BLANCHETTE, Yvan May 4-6, 2005 Dr. B. Mainville Accident. Custody. Milhaven Penitentiary.
WHETHAM, John May 11, 2005 Dr. W. Everett Accident. Construction.
SPURN, Gary May 24-26, 2005 Dr. G. Mann Accident. Custody. Police.
LATIMER, Sabrina June 7-15, 2005 Dr. A. McCallum Accident. Railway. Pedestrian.
EFFORD, David June 20-21, 2005 Dr. D. Huyer Accident. Construction.
BREDESEN, David June 20-22, 2005 Dr. R. Boyko Accident. Construction.
ANWAR, Najib June 27, 2005 Dr. A. McCallum Natural. Custody. Kingston Penitentiary.
HOFFMAN, Victor July 18, 2005 Dr. P. Savage Natural. Custody. Oakridges Mental health.
VOSS, Steven July 18-21, 2005 Dr. D. Legge Suicide. Custody. Provincial.
HAUGHTON, Dwight July 18-22, 2005 Dr. D. Evans Accident. Custody. Toronto Police.
MORENCY, Craig July 28-29, 2005 Dr.W. Buckton Accident. Custody. Windsor Police.
KENNEDY, Todd Aug. 2-4, 2005 Dr. D. Coates Suicide. Custody. Windsor Jail.
HENDERSON, John Aug. 8-11, 2005 Dr. D.M. Child Accident. Construction. Drowning.
WELSH, Chapen Aug. 31-Sept. 1, 2005 Dr. B. Bechard Accident. Traffic. ATV
BELL, George
EVANS, Donald
EVANS, Caroline
McKAY, Vivian
OSTER, Cynthia
Sept. 12-Nov. 16, 2005 Dr. B. Porter Accident. Vehicle.
PAIEMENT, Jerry Sept. 13, 2005 Dr. A. McCallum Natural. Custody. Kingston Penitentiary.
RANDHAWA, Paramjit Sept. 14-16, 2005 Dr. D. Schooling Accident. Construction.
COOPER, Tyler Sept. 19-27, 2005 Dr. D. Wolski Accident. School trip.
ROESLER, David Sept. 22-28, 2005 Dr. G. Watt Accident. Occupational.
TEMPLE-MEDHURST, Mitchell Sept. 26- Oct. 6, 2005 Dr. T. Wilson Accident. Drowning. Child.
BOZIC, Tijana Sept. 26-Oct. 7, 2005 Dr. J. Edwards Accident. Traffic.
MCKNIGHT, Robert Sept. 27, 2005 Dr. A. McCallum Suicide. Custody. Pittsburgh Institution.
WHISSELLE, Roger Sept. 28-Oct. 4, 2005 Dr. B. Bechard Natural. Health Care.
LAUZON, Albert Oct. 12, 2005 Dr. R. McIlquham Natural. Custody. Kingston Penitentiary.
JANIK, Marian Oct. 17-19, 2005 Dr. J. Kovaks Accident. Construction.
JOANISSE, Stephane Oct. 26-27, 2005 Dr. R. Sawkiw Accident. Mining.
VANDERKOLFF, Helena Oct. 17-27, 2005 Dr. B. Bechard Natural. Health Care
LATHAM, Brian Oct. 31, 2005 Dr. J. Deacon Natural. Custody. Frontenac Institution.
WOOD, Douglas Nov. 1-2, 2005 Dr. J. Ewen Accident. Construction.
ASHLEY, William Nov. 7-24, 2005 Dr. R. Drake Accident. Construction. Gas line.
SETH, Larry Nov. 15, 2005 Dr. P. Savage Natural. Custody.
OLIVER, Robert Nov. 23-25, 2005 Dr. J. Ewen Accident. Custody. Stratford Jail.
BARKER, Ronald Nov. 28, 2005 Dr. R. McIlquham Suicide. Custody. Collins Bay Institution.
EADIE, Randolph Nov. 28-29, 2005 Dr. W. George Accident. Construction
LEE, Wallace Nov. 28-Dec. 2, 2005 Dr. W. Lucas Accident. Martial Arts
BOLGER, John Dec. 5-13, 2005 Dr. P. Savage Suicide. Custody. OPP
MCNEIL, Edward Dec. 12-20, 2005 Dr. R. Isaac Accident. Custody. Toronto Police.
MCINNES, James Dec. 14, 2005 Dr. R. McIlquham Natural. Custody. Kingston Penitentiary.
LEFLER, Claude Dec. 19, 2005 Dr.J. Deacon Natural. Custody. Kingston Penitentiary.

2002 Inquests
Deceased Inquest date(s) Coroner Summary
LEWIS, Lana April 22, 2002-Jan. 16, 2004 Dr. B. McLellan Accident. Stroke.
PADDA, Paramjeet Jan. 12-30, 2004 Dr. K. Acheson Accident. Custody.
LETREN, Lawrence Jan. 14-15, 2004 Dr. J. Swain Accident. Construction.
M., D. (youth) Jan. 19-April 8, 2004 Dr. D. Evans Suicide. Custody. Toronto Youth Assessment Centre.
FERRON, Gilles Jan. 28, 2004 Dr. R. McIlquham Natural. Custody. Kingston Penitentiary.
BELCOT, Donald Feb. 2-3, 2004 Dr. R. Chivers Natural. Custody. Hamilton Detention Centre.
BARBIERI, Nicola Feb. 9-10, 2004 Dr. R. Boyko Accident. Construction.
THAW, Lorne Feb. 9-11, 2004 Dr. P. Savage Natural. Custody.
TANNER, Marie Feb. 9-12, 2004 Dr. J. Cairns Accident. Potassium Chloride injection.
HACKETT, Kenneth Feb. 10, 2004 Dr. T. Wilson Accident. Construction.
PRESSACCO, Renzo Feb. 13, 2004 Dr. G. Watt Accident. Construction.
DIFIGUEREDO, Narcisso Feb. 16-18, 2004 Dr. D. Huyer Accident. Construction
SHAND, Patrick Feb. 23-April 23, 2004 Dr. D. Eden Accident. Restraint asphyxia. Security guards.
BOYD, David Feb. 24, 2004 Dr. A. Lauwers Natural. Custody. Warkworth Institution.
LAMOUREUX, Andre March 1-2, 2004 Dr. J. Deacon Accident. Mines. Falconbridge.
WILKINS, William March 1-11, 2004 Dr. J. Ewen Accident. Smoke Inhalation. Firefighter procedures.
SAUNDERS, Edward March 3, 2004 Dr. R. McIlquham Accident. Custody. Frontenac Institution
RODGERS, Gareth March 22-April 8,2004 Dr. W. Lucas Accident. Parachuting.
GREENBIRD, Willard April 13, 2004 Dr. J. Ewan Natural. Custody. Maplehurst Correctional Complex.
VALLANCE, Jeremie April 19-20, 2004 Dr. K. Smith Accident. Construction.
MORRISSETTE, Gerard May 3, 2004 Dr. A. McCallum Accident. Custody. Kingston Penitentiary.
G., R. (youth) May 4-6, 2004 Dr. K. Acheson Accident. Custody. Youth.
MITCHELL, Megan
AUCLAIR-MITCHELL, Erica
May 4-20, 2004 Dr. D. Legge Accident. Hypothermia. Canoe.
MCLEAN, Kimberly May 25-June 14, 2004 Dr. D. Wolski Undetermined. Custody.
LADOUCEUR, Martine May 31-July 9, 2004 Dr. D. Legge Suicide. Custody. Thunder Bay District Jail.
FARMER, James June 7-9, 2004 Dr. W. Buckton Suicide. Custody. Windsor Jail.
HOEY, David June 7-10, 2004 Dr. J. Ewen Accident. Custody.
PLESINKI, Waldemar June 7-8, 2004 Dr. R. Mann Accident. Construction.
MASON, Scott
PRIESTMAN, Christopher
June 7-11, 2004 Dr. D. Huyer Accident. Gravel pit.
ACRES, Bruce June 23-24, 2004 Dr. A. McCallum Accident. Farm tractor.
JAITLY, Shalendra June 30, 2004 Dr. J. Edwards Suicide. Custody.
MARTIN, Alice Aug. 23-Sept 7, 2004 Dr. B. Bechard Natural. Health Care. Ambulance.
ELLIOTT, Jeffrey Sept. 13-24, 2004 Dr. P. Savage Accident. Custody. Penetanguishene.
MCCONNEY, Calvin Sept. 27, 2004 Dr. B. Bechard Natural. Custody. Kingston Penitentiary
WIENS, Mark Sept. 27-Oct. 19, 2004 Dr. A. McCallum Accident. Traffic. Mental health.
PAYETTE, Pamela Sept. 28-30, 2004 Dr. David Schooling Suicide. Custody. Grand River Prison for Women.
REDSHAW, Phillip Sept. 29, 2004 Dr. B. Bechard Suicide. Custody. Collins Bay Institution.
BLAIS, Serge Oct. 7-8, 2004 Dr. R. Drake Accident. Gravel pit.
LAMIRANDE, Rock Oct. 18-20, 2004 Dr. D. Legge Accident. Mines. Placer Dome.
FOBISTER, Geronimo Oct. 18-29, 2004 Dr. J. Hammett Homicide. Custody. Standoff with police.
MAGEE, Christopher Oct. 18-29, 2004 Dr. T. Wilson Accident. Custody. St. Thomas Psychiatric Hospital.
PREVOST, Daniel Oct. 25-26, 2004 Dr. D. George Natural. Custody. Fenbrook.
DWYER, David Oct. 27, 2004 Dr. McIlquham Natural. Custody. Kingston Penitentiary.
AL-AMIZI, Saad Oct. 29, 2004 Dr. G. Watt Accident. Custody. Morphine.
O'BRIEN, James Nov. 1, 2004 Dr. G. Watt Undetermined. Custody.
BEERS, Craig
JENKINS, Judith
PIDGEON, Steven
STEVENSON, David
Nov. 1-Dec. 2, 2004 Dr. W. Lucas Accident. Undetermined. Methadone.
DAVIS, Jonathan Nov. 3-4, 2004 Dr. R. Sawkiw Accident. Mining.
CARRIGAN, John Nov. 8-9, 2004 Dr. J. Kovacs Accident. Construction.
EVANS, Michael Nov. 10, 2003-Jan. 20, 2004 Dr. R. Isaac Accident. Construction.
HEFFERN, Gordon Nov. 15-19, 2004 Dr. J. Deacon Accident. Mines.
TIEGESSER, Joseph Nov. 17, 2003-May 7, 2004 Dr. J. Edwards Natural. Tuberculosis.
SHARMA, Shashi Dec. 1, 2004 Dr. R. Caskey Natural. Custody.
WHITE, Alfred Dec. 1, 2004 Dr. R. McIlquham Natural. Custody
BALOG, Joseph Dec. 13-15, 2004 Dr. P. Savage Accident. Custody. Central North Correctional Centre.
CUDDY, Kerri Dec. 13-16, 2004 Dr. W. Lucas Suicide. Custody. Peel Regional Police.

2003 Inquests
Deceased Inquest date(s) Coroner Summary
LINKLATER, Maurice Jan. 20-24, 2003 Dr. D. Legge Undetermined. Police Shooting. OPP.
DIEGO, Dipasquale Jan. 27, 2003 Dr. B. Mainville Natural. Custody. Kingston Penitentiary.
WHEELER, Shayne Jan. 28, 2003 Dr. B. Mainville Natural. Custody. Quinte Regional Detention Centre.
ORBAN, Steven Jan. 29, 2003 Dr. R. McIlquham Natural. Custody. Kingston Penitentiary.
MCCARRELL, Lawrence Feb. 12-13, 2003 Dr. P. Clark Accident. Custody. Warkworth Institution.
JONES, Robert Feb. 26, 2003 Dr. R. McIlquham Natural. Custody. Kingston Penitentiary.
SMITH, Edward March 26, 2003 Dr. R. McIlquham Natural. Custody. Kingston Penitentiary.
BOWMAN, Scott March 31, 2003 Dr. P. Clark Suicide. Custody. Belleville Police.
WILSON, John March 31-May 2, 2003 Dr. D. Evans Accident. Fire. Home for the aged.
MERRITT, Robert April 2-4, 2003 Dr. E. Spencer Accident. Construction.
JOHNSTONE, Emma April 22-25, 2003 Dr. R. Mann Accident. Drowning. Backyard pool.
DEOL, Baljit April 22-29, 2003 Dr. A. Lauwers Natural. Custody. Millbrook Correctional Centre.
LAVALEE, Kevin April 28-30, 2003 Dr. D. Eden Accident. Custody. Windsor Detention Centre
OUELLET, Nicole
OUELLET, Olive
OUELLET, Bernard
WHITING, Rene
April 29-May 1, 2003 Dr. D. Legge Accident. Carbon monoxide poisoning.
HULKO, William May 1, 2003 Dr. B. Bechard Accident. Custody. Quinte Detention Centre.
WIRTZ, Helmut May 12, 2003 Dr. J. Ewen Natural. Custody. Maplehurst Correctional Complex.
VIJAYARATNAM, Methusan May 20- July 4, 2003 Dr. B. Porter Natural. Health care.
ALVES, Jose
LEON, Darren
June 9-19, 2003 Dr. D. Schooling Accident. Construction.
MCDONALD, James June 11-13, 2003 Dr. P. Savage Accident. Construction
FRUSTIK, Peter June 12, 2003 Dr. B. Bechard Homicide. Custody. Collins Bay Penitentiary
NADEAU, Ricky June 16, 2003 Dr. J. Ewen Accident. Custody. Maplehurst Correctional Complex. Cocaine poisoning.
DOKIS, Kelly June 16-19, 2003 Dr. C. Rathwell Accident. Construction. Electrocution
SMITH, Bryan June 16-20, 2003 Dr. C. Eisener Accident. Mining.
HAWLEY, Michael June 18, 2003 Dr. R. Caskey Natural. Custody. Warkworth Institution
LOCEY, Ronald June 23, 2003 Dr. B. Mainville Natural. Custody. Millhaven Correctional Institute.
HODGE, Sydney June 23-24, 2003 Dr. A. McCallum Natural. Custody. Burtch Correctional Facility.
CAMERON, Charles June 24, 2003 Dr. B. Mainville Accident. Custody. Kingston Penitentiary. Excited delirium.
BURNS, Jerome June 24-27, 2003 Dr. D. Legge Accident. Mining.
WEBSTER, Barry July 7-11, 2003 Dr. W. Lucas Natural. Custody. Durham Regional Police.
COX, Edward July 14-16, 2003 Dr. K. Smith Accident. Construction.
MISNER, Allan July 21-23, 2003 Dr. R. Chivers Accident. Construction. Electrocution.
DAROSA, Henry Aug. 18-19, 2003 Dr. D. Legge Accident. Construction.
FRANCISCO, Armindo Sept. 8-10, 2003 Dr. D. Huyer Accident. Construction.
MARINZELL, John Sept. 22-23, 2003 Dr. D. Giddens Accident. Construction. Subway.
DICAR, Salvatore Oct. 6-7 2003 Dr. W. Lucas Accident. Construction
TOOLEY, Douglas Oct. 9-10, 2003 Dr. J. Edwards Accident. Construction. Roofing.
OKKVATSIAK, Lucas Nov. 19, 2003 Dr. R. Caskey Suicide. Custody. Warkworth Institution.
MCCRACKEN, Derek Nov. 24, 2003 Dr. C. Rathwell Accident. Custody. Cocaine poisoning.
MITTEN, Benjamin Nov. 27-Dec. 4, 2003 Dr. C. Rathwell Suicide. Custody. Brantford Jail.
SOLOSKY, William Dec. 15, 2003 Dr. B. Mainville Natural. Custody. Kingston Penitentiary.
TUCK, Rodney Dec. 15-17, 2003 Dr. D. Wolski Accident. Custody. Niagara Detention Centre.
MILLIKEN, Christopher Dec. 17, 2003 Dr. P. Clark Natural. Custody. Warkworth Institute.
ROCHON, Michel Dec. 19, 2003 Dr. G. Watt Accident. Construction. Fall.

2002 Inquests
Deceased Inquest date(s) Coroner Summary
HADLEY, Gillian
HADLEY, Ralph
Oct. 22, 2001-Feb. 8, 2002 Dr. B. Porter Homicide. Suicide. Domestic violence.
KIDNIE, Elizabeth March 4-15, 2002 Dr. W. Lucas Undetermined. Pedestrian struck by elderly driver.
SUKHARM, Rampersaud April 2-4, 2002 Dr. J. Edwards Natural. Custody. Toronto East Courts.
BENNETT, Clifford April 29, 2002 Dr. B. Bechard Accident. Custody. Collins Bay Penitentiary.
PIPER, David May 1, 2002 Dr. R. McIlquham Suicide. Custody. Kingston Penitentiary
HAWKE, Leon May 6-7, 2002 Dr. D. Evans Natural. Custody. Toronto Jail
SERENO, Guiseppe May 27, 2002 Dr. B. Bechard Homicide. Custody. Millhaven Penitentiary
GRAHAM, Mark June 3-July 2, 2002 Dr. K. Acheson Undetermined. Police shooting. South Simcoe Police.
WHITMORE, Dana June 10-19, 2002 Dr. B. Bechard Accident. 911 and EMS.
JANIC, Vladislav July 12-22, 2002 Dr. W. Lucas Suicide. Police involvement.
MCLEAN, Ellias
MCLEAN, Asha-Jade
SHAW, Pearl
Aug. 12-Oct. 4, 2002 Dr. P. Clark Accident. Smoke inhalation.
HEFFERNAN, Ambrose Aug. 19, 2002 Dr. D. Thompson Accident. Traffic. Monster truck.
JOBIN, Stephanie Nov. 18-Dec. 17, 2002 Dr. W. Lucas Undetermined. Use of restraints. Group home.
DEBOER, Klaas
VANREES, Michael
Dec. 9-11, 2002 Dr. P. Savage Accident. Construction. Trench cave in.
HENNING, Daniel Dec. 10-12, 2002 Dr. C. Rathwell Suicide. Custody. Guelph Treatment Centre

2001 Inquests
Deceased Inquest date(s) Coroner Summary
HEIKAMP, Jordan Jan. 9-April 11, 2001 Dr. J. Cairns Homicide. Chronic starvation of infant.
NAIRNE, Carlton March 27-April 4, 2001 Dr.R. Isaac Accident. Custody. Toronto Police.
MASUKA, Henry April 17-May 3, 2001 Dr. W. Lucas Undetermined. Police Shooting.
KUDRATH, Sheik June 4-6, 2001 Dr. J. Edwards Natural. Custody. Toronto West Detention Centre.
MARCHE, Troy Aug. 27-28, 2001 Dr. A. Jones Accident. Construction.
OLAWUYI, Babatunde Nov. 13-15, 2001 Dr. J. Edwards Natural. Custody. Toronto Don Jail.
MCCABE, Mark Dec. 10-14, 2001 Dr. R. Isaac Accident. Construction.

2000 Inquests
Deceased Inquest date(s) Coroner Summary
SHORE, Lisa Nov. 8, 1999-Feb. 24, 2000 Dr. J. Cairns Homicide. Hospital. Child.
WATSON, Lawrence March 6-8, 2000 Dr. R. Isaac Natural. Custody.
MANZANO, Hugo March 14-28, 2000 Dr. W. Lucas Accident. Custody. Toronto Police.
HO, Allen May 8-June 1, 2000 Dr. B. McLellan Accident. Ecstasy.
PRIBAG, Richard Sept. 14, 2000 Dr. T. Gillmore Suicide. Custody.
PIRREIRA, Samuel Nov. 20-23, 2000 Dr. M. Reingold Suicide. Custody.
MOORE, Wayne Dec. 18-19, 2000 Dr. J. Giddens Natural. Custody

1990s Inquests
Deceased Inquest date(s) Coroner Summary
HO-NGUYEN, Quang Jan. 19-22, 1999 Dr. T. Gillmore Suicide. Custody. Don Jail.
LINO, Carlos Feb. 15-18, 1999 Dr. F. Demanuele Accident. Construction.
PARENTE, Antonio March 1-4, 1999 Dr. R. Isaac Accident. Construction.
MANDY, Lorand March 22-31, 1999 Dr. M. Naiberg Accident. Mental health.
MONARDO, Frank April 19-20, 1999 Dr. J. Giddens Accident. Construction.
MASSA, Jennifer April 26-29, 1999 Dr. A. Jones Accident. Custody. RCMP.
MORADIAN, Morteza May 25-26, 1999 Dr. M. Reingold Accident. Construction.
KANESHAKUMAR Jayaraanie June 7-21, 1999 Dr. D. Eden Natural. Health care. Pregnant.
NASIN, Kamran June 17-18, 1999 Dr. A. Jones Suicide. Custody.
SKINNER, Ross July 12-14, 1999 Dr. D. Giddens Suicide. Custody.
MCLAREN, Norman July 19-20, 1999 Dr. J. Taylor Natural. Custody.
MAY, Arlene
ILES, Randy
Feb. 16-July 2, 1998 Dr. B. Porter Murder. Suicide. Domestic violence.
TRAJCEVSKI, Vangel June 29-July 10, 1998 Dr. F. Demanuele Accident. Methadone.
HAINEAULT, Gladys July 22, 1998 Dr. T. Gillmore Natural. Custody. Toronto West Detention Centre.
MOTTON, Jason
RODRIGUES, Paul
Nov. 30-Dec. 16, 1998 Dr. W. Lucas Accident. Custody.
JOHNSON, Shanay April 1-May 9, 1997 Dr. R. Bennett Homicide. Child Protection.
KWIECHEN, Sophia July 15-25, 1996 Dr. M. Milton Accident. Health Care.
MACINTYRE, James Sept. 16-Oct. 10, 1996 Dr. T. Gillmore Homicide. Homeless shelter.