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Inquest Reports
Under The
Fatality Inquires Act, the Chief Medical Examiner may direct that
an inquest be held into the death of a person. Inquests are presided over by
judges of the Provincial Court of Manitoba. Following the inquest, the judge
submits a report and may recommend changes in the programs, policies and practices
of government that in his or her opinion would reduce the likelihood of a death
in circumstances similar to those that resulted in the death that is the subject
of the inquest.
Below is an index of the recent Inquest Reports issued by a judge of the Provincial
Court. The date referenced is the date that the Inquest Report was publicly
released.
Most of the Inquest Reports found below can be downloaded. If you wish to
obtain a print copy of an Inquest Report found below or of an older Inquest
Report, please contact the Office of the Chief Medical Examiner in Manitoba
at 1-800-282-8069 or (204) 945-2088.
In 1985, in order to avoid duplicate investigations, the Chief Medical Examiner
and the Ombudsman developed a protocol by which they agreed that if a death
were the subject of an inquest, the role of the Ombudsman would be to follow
up with the provincial government department, agency, board commission or municipality
to which inquest recommendations were directed.
After an inquest report is received, the Ombudsman contacts each department
or agency of government or a municipality to which a recommendation is directed
to determine what action it is taking. After a satisfactory response to each
recommendation has been received, a letter is sent to the Chief Judge of the
Provincial Court advising of those responses.
Copies of the Ombudsman’s letter to the Chief Judge, along with the
status of the department/agency’s response to the recommendations, are
available at www.ombudsman.mb.ca.
Special Note:
The Report of the Manitoba Pediatric Cardiac Surgery Inquest: an Inquiry into
Twelve Deaths at the Winnipeg Health Science Center, 1994 of Associate Chief
Judge Murray Sinclair (as he then was) is available at www.pediatriccardiacinquest.mb.ca
- Matthew Adam Joseph Dumas - December 9, 2008
- Steven Ryan Ewing – November 4,
2008
Appendix A
Appendix B
Appendix C
Appendix D
Appendix E
Appendix F
Appendix G
Appendix H
Appendix I
Appendix J
Appendix K
Appendix L
- Tracia Owen - January 16, 2008
- Mitchell Adam Audy - October 12, 2007
- Sherrill Wilfred Forbister - August 24, 2007
- Paul Laurent Joubert - August 9, 2007
- Rachel Lori Wood - June 4, 2007
- Christopher John Holoka – May 16, 2007
- Dennis Robinson - March 26, 2007
Appendix A to the Dennis Robinson Inquest Report
- John Erik Demery - December 22, 2006
- Melford William Nickoshie - December 11, 2006
- Peter Stevenson - October 30, 2006
- Keyanna Marie Snowdon - August 1, 2006
- Dennis St.Paul - July 19, 2006
- Sharon Joyce Horn - June 13, 2006
- Eric Clipping - April 26, 2006
(available only in print from the Office of the Chief Medical Examiner)
- Anna Maciocha - March 6, 2006
- Calvin
Sean Wood - November 28, 2005
- Ettie June
Morris - September 12, 2005
- Glenn Fiddler - September 12, 2005
- Alan
Nicolson - August 25, 2005
- Richard
Franklin Lagimodiere - August 12, 2005
- Leon
Herman Bighetty - August 5, 2005
- Laura Lee Draper and Arthur Randy Gill - July 14, 2005
-
Donald Lorne Miles - January 27, 2005
Appendix A to the Donald Lorne Miles Inquest Report
- Isobel Lathan - September 7, 2004
- Susan Capelia Redhead - July 22, 2004
- Henry Dueck - April 27, 2004
-
Baby Collin Dorber Squire - March 29, 2004
Exhibit List for the
Baby Collin Dorber Squire Inquest Report
- Lorna Joyce Ballantyne, Conway Wilfred Ballantyne, Baptiste Aaron Ballantyne - March 29, 2004
- Nadine Beaulieu - March 12, 2004
(available only in print from the Office of the Chief Medical Examiner)
- Clayton Scott - February 2, 2004
-
Abraham Hiebert - August 1, 2003
Exhibit List for the
Abraham Hiebert Inquest Report
- Joshua Harder - July 22, 2003
- Cory Moar - May 14, 2003
- Voila Contois - March
27, 2003
- Sophia Lynn Schmidt - February 7, 2003
-
Patrick Norman Redhead - January 16, 2003
Exhibit List for the
Patrick Norman Redhead Inquest Report
Artwork
of Patrick Norman Redhead referred to in the Inquest Report
- James Friesen and David Schroeder - October 31, 2002
-
Doreen Leclair and Corrine McKeown - October 29, 2002
Table of Contents for the
Doreen Leclair and Corrine McKeown Inquest Report
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