Identify all ongoing construction projects involving Claridge Homes group of companies in Ontario and conduct proactive inspections of those sites. The site also provides information on how to request copies of the original files. The ministry should ensure that all staff be trained regarding crisis and incident response and management. The reviewers should work with the local health care team to identify gaps and find solutions. Coroner's inquests are held in cases of sudden, unexplained or suspicious deaths. A coroner's inquest is a public court hearing where the coroner determines about how, when and where someone died following a post-mortem. The ministry should consider changing the reporting structure for healthcare to ensure that the health care manager at the institutional level reports directly to Corporate Health Care. Ohio, Stark County Coroner's Records, 1890-2002. Follow a study to determine the scale and volume of increase that is necessary to address the shortage of beds in Thunder Bay for all communities that access Thunder Bay for services. That the Community Inclusion Coordinator be part of the process for reviewing relevant. An approach that is not one-size-fits-all. Provide additional guidance on how to assess the risk of ice on excavation walls. Revise the use of force report form to require officers to document de-escalation techniques used. The ministry should require all forms related to the admissions of inmates to be completed in full, including review and signature by a sergeant (or their designate). Consideration should be given to the United Kingdoms Domestic Abuse Commissioner model in developing the mandate of the Commission. Make adjustments to program curriculum and delivery methods according to gaps and opportunities identified. If not already provided, the ministry should explore the availability of substance abuse treatment programs for all Ontario detention centres such as Narcotics Anonymous, and if not available, explore alternatives to that. The ability to respond immediately with risk management services in collaboration with. Once a risk assessment has been completed, ensure that all missing person cases are triaged to determine the appropriate response to a persons disappearance, including whether that response should involve a combination of the police and/or other community organizations and/or a multi-disciplinary response. Coroner's verdict in inquest into . That the use of medically fragile flags be considered for the. Consider extending the recommendations 10-22 to include all municipal police forces across Ontario. This includes education of workers, availability and maintenance of rescue equipment (. In particular, the Model should explicitly include an emphasis on de-escalation as a foundational principle, and de-escalation techniques should be embedded within the Model. We recommend that Occupational Health and Safety be amended to allow Health and Safety representatives and Joint Health and Safety committees authority to keep confidential the name of any workers who report unsafe conditions. incorporate the approach of minimizing the risk of hanging in the designing and planning of the bookshelves in all units. Show entries Consider conducting an ice management campaign for large construction projects in Eastern Ontario. The Toronto Police Service should continue to build a diverse. Commission a study to examine the creation and implementation of a province-wide, civilian-led crisis intervention system to respond to persons in crisis, including mental health crisis. Specifically: prioritize the Health Care Performance and Planning Units analysis of recruitment challenges for correctional health care staff. How employers should prepare their workers and their job sites to ensure safe working conditions during periods of high temperatures. Recognition that, in remote and rural areas, funding cannot be the per-capita equivalent to funding in urban settings as this does not take into account rural realities, including that: economies of scale for urban settings supporting larger numbers of survivors, the need to travel to access and provide services where telephone and internet coverage is not available. That the services collaborate to discuss the practice of wave offs, and develop policies and training for first responders, on how a wave off should not occur. The Toronto Police Service should review research and studies in regard to use of non-lethal tools to incapacitate a subject in possession of a firearm. On the second day of an inquest at Dublin District Coroner's Court today, counsel for Mr Sweeney's family, Roger Murray SC, said the net effect of the patient being discharged from the high . Designate an employee to manage this plan, monitor the weather, ensure compliance with the plan and maintain records. This should be a focus for performance management and quality assurance processes. It is recommended that all Ontario mines actively using metallurgical cyanide establish clearly demarcated cyanide zones wherever cyanide is used or may be reasonably found at harmful concentrations. Office opening hours are Monday to Thursday, 8am to 4pm, and . The ministry should conduct regular reviews to ensure its complement of nurses is sufficient to allow thorough assessments of each Inmate. Develop methods to evaluate the effectiveness of mental health, de-escalation and anti-racism training. Consult with the Ontario Anti-Racism Directorate to analyze race-based data collected by police services to measure and evaluate police service performance on use of force, take corrective action to address systemic discrimination and provide clear and transparent information to the public on bias and discriminatory use of force. The Government of Ontario should enhance supports for families of persons who die in a police encounter, and ensure that those services are delivered in a timely and trauma-informed manner. Increase hiring of Ministry of Labour, Training & Skills Development construction inspectors. Please check the website on the day of the hearing. To use any such collected information to assess the effectiveness of the deployed alternative responses, to identify the potential for the improvement of future responses and outcomes, and to support any request for additional resources. The Toronto Police Service should explore the ability to use audio/visual capabilities to have short notice assistance from external professionals e.g. 'Short form' verdicts such as accident or misadventure; natural causes; suicide; and homicide make up the majority of all verdict conclusions. Review the process for obtaining inmates medical history from their next of kin when inmates are identified as potentially suicidal or violent. The coroner Sir John Goldring said he would accept a. Research and, if appropriate, develop and integrate additional flags into the records management systems that accurately identify an active, serious threat to officers and the public, including behavioural and mental health flags, and a numerical measurement of risk. We recommend that a public awareness campaign be developed that highlights the dangers of working in proximity to overhead power lines and provides information on how members of the public can report seemingly unsafe or non-compliant practices. Verdicts and Coroner's recommendations. Reconvene one year following the verdict to discuss the progress in implementing these recommendations. Implement the Spirit Bear Plan through collaboration with. Physicians should be encouraged to communicate with a patients community health care providers when discontinuing or amending a prescription for an opioid medication, when consent is provided by the patient. The verdict was received on December 1, 2021 Coroner's name: Dr. Steven Bodley (Original signed by coroner) We, the jury, wish to make the following recommendations: Inquest into the death of: Mark King Jeffrey Jury recommendations Correctional Services of Canada should: make the Anijaarniq: A Holistic Inuit Strategy publicly available Provide Indigenous-led cultural competency and cultural safety training to all officers. The ministry should undertake a study to identify the effects of overcrowding, and other living conditions on inmate populations especially those with addictions and/or pre-existing mental illness and to take any appropriate corrective measures. Refer to the mining legislative review committee the consideration of amendments to Ontario Regulation 854, Mines and Mining Plants (the Regulation) that would: Require the following precautions be taken should a worker perform maintenance work in an area in which the work may reasonably be expected to expose the worker to a material containing cyanide at concentrations that may endanger the worker. The ministry should conduct an Indigenous led study that consults with Indigenous community organizations and Indigenous healthcare providers to obtain information regarding Indigenous cultural and spiritual healing practices and use of Indigenous traditions known to assist in prevention of substance use, wellness and a means to address addictions in a culturally sound way. Compensation should include: cost of medicines or supplies required to facilitate service. This will require consultation with and inclusion of a diverse group of Indigenous communities/agencies, in recognition of the fact that Indigenous cultures/traditions/ways of being are not monolithic and that Thunder Bay is home to Indigenous peoples from across the North who possess a spectrum of cultural values/languages/ways of being. That the Thunder Bay Police Service Board retain an expert consultant for the purposes of providing an independent assessment of the level of staffing required of the Thunder Bay Police Service. The ministry should install monitoring equipment of good quality at, The Ministry should ensure that Opioid Agonist Treatment (, Corporate health care with the ministry should continuously monitor wait times for the availability of. Deliver training to frontline officers on the purpose of the Crime Abatement Program, the information included in Crime Abatement Program records, and how to access such records. Presiding Coroner: Witness List: Livestream Instructions: Note or copy the passcode BEFORE clicking on the Livestream Link Click on the link above When prompted, enter passcode, your name and email address You will automatically be connected when the Inquest is in session Ensure that health care transfer summaries are completed in compliance with provincial policies when inmates are transferred between institutions. Wednesday 15 March Inquest to conclude Section 9: Giving Evidence As a witness you are not on trial, you are there to assist the court The Coroner decides which witnesses should attend, and in what order they are called. all health care staff will have access to, Develop an action plan to ensure that there is adequate physical space at the, Upgrade the physical infrastructure at the, Increase the physical space available for inmate programming at the. In most cases, no further action is required, and the death can be registered as normal. how to identify and address the precursors to heat stress, and other heat related illnesses that may arise from working in high temperature conditions. Require cyanide distribution lines be painted purple for identification and dye be added to cyanide solutions during mixing to make it red/purple in colour. To support and promote cultural safety for First Nations children and young people, the, To address the mental health needs of children and young people, the. Older verdicts and recommendations, and responses to recommendations are available by request by: occ.inquiries@ontario.ca 1-877-991-9959 You can also access verdicts and recommendations using Westlaw Canada. The ministry should explore implementation of harm reduction strategies similar to those used at supervised consumption sites. The task force would involve representatives from, and meaningful input from: Members of the Thunder Bay community including individuals with lived/living experience, members of the Thunder Bay District Mental Health & Addictions Network, Superior North Emergency Medical Services, Nishnawbe Aski Nation and Anishinabek Nation, other Indigenous and community partners who wish to participate. Ensure that the file reviewer position that has been implemented at the, Increase the number of hours for physicians at, Explore options to increase the physical space available at the. Advise all workers that they should report health and safety concerns to their health and safety representative, joint health and safety committee, to Fermars Health and Safety Department, or directly to the. Information on Coroners openings and hearings. Ensure that all police officers who interact directly with the public are provided with the four-day mental health training currently provided to incoming police officers in their first year of service. Also in this section This shall include adequate training and resources for all care providers and all staff within MAPs so that individuals with a likelihood of violent behaviour as a result of trauma are still able to receive care and services from the. The inquest would be held in the district where the death occurred. In the case of high risk and dangerous subjects, consider the application of Situation Mission Execution Administration Command & Communication (, Where there is an existing threat assessment on file, provide contact information so that. Funding for services provided to survivors that allows for the hiring and retention of skilled and experienced staff so that they are not required to rely on volunteers and fundraisers in order to provide services to survivors. The inquest into father and son Roger and Bradley Stockton, who died in a sidecar crash June 10 2022, closed this afternoon. The 74,160 records in this database were extracted from the Cook County Coroner's Inquest Records. Start grassroots Safe Spaces program that businesses can participate in where survivors can feel safe and ask for information (. Ensure that all safety plans are written down and shared with Lynwood staff, the young persons guardian, and other members of a young persons circle of care where appropriate and consistent with privacy legislation and rights. coroner's jury, a group summoned from a district to assist a coroner in determining the cause of a person's death. The ministry should conduct a comprehensive and ongoing process of engagement with patients in its custody in the development of healthcare strategy, policy and delivery. Prioritize developing and implementing a long-term plan to establish adequate housing for male/female inmates. A-Z of records. Explore, with community mental health partners, the feasibility of extending the availability of Mobile Crisis Rapid Response Team (. The inquest jury consists of five people selected by the coroner's constable from a list of jurors from the community. Openings. Recommend training programs be reviewed on an ongoing basis to maximize employees comprehension of content. The Coroner can hold an inquest even if the death happened abroad. Continue to ensure that all young people in care have reasonable access to cell phones or other technologies they may need to communicate with their family, their First Nation and others important to them. Held at:25 Morton Schulman Avenue, TorontoFrom:April 4To:April 7, 2022By:Dr.Robert Boykohaving been duly sworn/affirmed, have inquired into and determined the following: Name of deceased:Fernando SantosDate and time of death: January 23, 2018 at 3:38 p.m.Place of death:1575 Lakeshore Road West, MississaugaCause of death:blunt force trauma of the torsoBy what means:accident, The verdict was received on April 7, 2022Coroner's name:Dr.Robert Boyko(Original signed by coroner), Surname:SaidiGiven name(s):BabakAge:43. Hazard alerts should be distributed in a timely manner after a health and safety concern is made evident. Consider including conductive energy weapons training as part of the mandatory curriculum for police recruits at the Ontario Police College with a yearly re-certification. Develop a process, in consultation with the judiciary, to confirm that release conditions are properly documented. That the use of paper green sheets be discontinued, that the booking process and prisoner management systems be digitized, and that documentation used for charges in court be separated from the documentation used to manage and care for individuals in custody. Inclusion of and consultation with Indigenous communities/agencies is essential. Crowns should also consider a history of, Study the best approach for permitting disclosure of information about a perpetrators history of, Explore the implementation of electronic monitoring to enable the tracking of those charged or found guilty of an. The OCC use the findings to generate recommendations to help improve public safety and prevent future deaths in similar circumstances. The ministry should provide direct access to Naloxone spray for people in custody, including within locked cells. It is most commonly used when none of the other verdicts are appropriate. There are no 'parties' and the Coroner does not make . Explore and research the availability and efficacy of additional less-lethal use of force options for officers. Prioritize the Health Care Performance and Planning Units analysis of recruitment challenges for correctional health care staff. . Consider using specialized care units for inmates who have been removed from suicide watch. Coroner Current inquests Media and other observers Inquest hearings are held in public and members of the public, including the media, are welcome to attend Court in person to observe. Review the process and criteria for issuing a media release to ensure that, where appropriate, timely media releases are issued in missing person investigations, and that due consideration to issuing a media release occurs within set time periods during an investigation. Inject a significant one-time investment into, Realign the approach to public funding provided to. Held at:SudburyFrom: August 29To: September 2, 2022By: Dr. David Cameron, Presiding Officer for Ontariohaving been duly sworn/affirmed, have inquired into and determined the following: Name of deceased:Richard Raymond PigeauDate and time of death: October 20, 2015 at 12:06 p.m.Place of death:3259 Skead Road, Skead, ON, P0M 2Y0 1660 Level, 1660-021 RampCause of death:crush-type blunt force injuries to torsoBy what means:accident, The verdict was received on September 2, 2022Presiding officer's name: Dr. David Cameron(Original signed by presiding officer), Surname: GordonGiven name(s): JacobAge:24. Require emergency response personnel in plants using cyanide to be provided with basic first aid/. Consider reviewing the mandatory frequency of refresher courses for Suspended Access Equipment Training. Explore the capability of the information management systems to accurately capture the number of calls for service which are initially reported and dispatched as another type of call but are later assessed by the responding officers to be a call which has a significant person in crisis component. 2022 coroners inquests verdicts and recommendations, other identified organizations may be identified in the recommendations. A list of the inquests scheduled for hearing in the Oxford Coroner's Court. The jury hears evidence from witnesses under summons (same as a subpoena) in order to determine the facts of a death. Indigenous people must be able to access spiritual rights as well as programs with regularity and without unreasonable delay. Held at:Toronto (virtual)From: December 6To: December 9, 2022By:Mr. Etienne Esquega, Presiding Officer for Ontariohaving been duly sworn/affirmed, have inquired into and determined the following: Name of deceased:Jose AmaralDate and time of death: November 25, 2015 at 2:40 a.m.Place of death:Musselwhite MineCause of death:blunt force trauma to head and neckBy what means:accident, The verdict was received on December 9, 2022Presiding officer's name:Mr. Etienne Esquega(Original signed by presiding officer), Surname:MilletteGiven name(s):Denis Stanley JosephAge:52. Funding for mobile tracking system alarms and other security supports for survivors of, Funding for services dedicated to perpetrators of, Develop a plan for enhanced second-stage housing for. It is recommended that all Ontario mines actively using metallurgical cyanide establish clearly demarcated cyanide zones wherever cyanide is used or may be reasonably found at harmful concentrations. This would both provide a warning and a specific ongoing reminder to any person entering such areas. Continue working with their partners to provide timely alerts, reminders and warnings to the public about the dangers of working in high temperature conditions on days when the temperatures reach dangerous levels. January In addition, the panel will identify priorities for funding from existing resources to support Indigenous welfare programs and First Nation communities. The ministry should develop training for correctional officers on strategies to work constructively with Indigenous men in custody, similar to the Biidaaban Kwewok and Biidaaban Niniwok Beginnings for Indigenous Women and Men training. That the Thunder Bay Police Service Board consider creating a position of Deputy Chief, Indigenous Relations. The ministry should ensure that spiritual elders, knowledge keepers, and helpers are provided honoraria or financial compensation for their important work delivering cultural programming and access to their spiritual rights. When first addressing an employee in medical distress, a full body assessment (head to toe) must be completed. The Ontario Provincial Police (OPP) should: The Ministry of the Solicitor General should: Surname:EkambaGiven name(s):Marc DizaAge:22. development of an integrated Plan of Care focused on the social determinants of health for the family and child that follows them through community services when they are in the community and also when they are in the care of a childrens aid society and incorporate the cultural and spiritual needs of the child; and. Review the mandate of Probation Services to prioritize: Require that probation officers, in a timely manner, ensure: There is an up-to-date risk assessment in the file. Explore the possibility of developing and including crisis intervention training as part of the mandatory curriculum for police recruits at the Ontario Police College and the requirement that all officers re-qualify at a determined interval. Strike a sub-committee of industry partners to review hazards presented by the formation of ice on excavation walls and develop best practices for eliminating or mitigating those risks. BBC Radio Sussex. The ministry should ensure that all correctional officers and nurses have full access to medical and mental health records, and previous incarcerations, where permitted by law. The inspections should focus on assessing whether projects are organized in a manner that ensures safety of all workers. Be staffed 24 hours a day and 7 days a week. Provide training to workers on the signs and symptoms of heat stress and heat stroke, how to prevent heat-related illness and first aid steps to be taken should a worker believe they or their co-worker are showing signs of such illness. Held at: North YorkFrom:July 18To: July 18, 2022By:Dr.Geoffrey Bondhaving been duly sworn/affirmed, have inquired into and determined the following: Name of deceased:Metti YonanDate and time of death: November 28, 2014 at 12:40 p.m.Place of death:Sunnybrook Hospital, 2075 Bayview Avenue, North YorkCause of death:blunt force crushing injuries to the torso that caused extensive internal hemorrhageBy what means:accident, The verdict was received on July 18, 2022Coroner's name:Dr.Geoffrey Bond(Original signed by coroner). Held at:virtual inquestFrom: September 26To: October 7, 2022By: Murray Segal, Presiding Officer for Ontariohaving been duly sworn/affirmed, have inquired into and determined the following: Name of deceased:Victor OgundipeDate and time of death: January 26, 2017,10:14 p.m.Place of death:36 Queen Street East, TorontoCause of death:a) Hemoperitoneum, due to b) rupture of liver, due to c) blunt force injury to abdomen.By what means:accident, The verdict was received on October 7, 2022Presiding officer's name:Murray Segal(Original signed by presiding officer), Surname:FreemanGiven name(s):Devon Russell James (Muskaabo)Age:16.
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