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Inquests – Office of the Chief Coroner

An inquest is a public hearing designed to focus public attention on the circumstances of a death through an objective examination of facts. At the conclusion of an inquest, the five-person jury often makes useful recommendations that may prevent further deaths.

Below are a variety of resources available from the Government of Ontario related to the coroner’s inquests:

The OCC posts verdicts and recommendations for all inquests for the current and previous year. Older verdicts and recommendations, and responses to recommendations are available by request by:

You can also access verdicts and recommendations using Westlaw Canada.

Ongoing Inquests

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Upcoming Inquests

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Previous Inquests

Inquest into the Death of Emmanuel Oruitemeka

Dr. David Cameron, Regional Supervising Coroner for Inquests, has announced the
date for the inquest into the death of Emmanuel Oruitemeka.

Mr. Oruitemeka, 25, died in hospital on February 16, 2014, after collapsing four days
earlier while in police custody in Thunder Bay. An inquest into his death is mandatory under the Coroners Act.

The inquest will examine the circumstances surrounding Mr. Oruitemeka’s death. The jury may make recommendations aimed at preventing further deaths.

The inquest is expected to last seven days and hear from approximately 14 witnesses.

The inquest will begin at 9:30 a.m. on Tuesday, July 4, 2023. Dr. Bob Reddoch will be the presiding officer. Julian Roy and Uko Abara will be inquest counsel.

Inquest into the Death of Shannon Nichole Sargent

Dr. Louise McNaughton-Filion, Regional Supervising Coroner for East Region, Ottawa Office, has announced a date for the inquest into the death of Shannon Nichole Sargent.

Ms. Sargent, 34, died on July 20, 2016, while in custody at the Ottawa Carleton Detention Centre. An inquest into her death is mandatory under the Coroners Act.

The inquest will examine the events surrounding the death of Ms. Sargent. The jury may make recommendations aimed at preventing future deaths in similar circumstances.

The inquest is expected to last 10 days and will hear from approximately 25 witnesses.

The inquest will start at 9:30 a.m. on Monday, May 29, 2023. Dr. Robert Reddoch will preside as inquest officer. Kate Forget and Mike Boyce will be inquest counsel. The inquest will be conducted by video conference.

ᓇᓇᑲᒋᒋᑫᐃᐧᐣ ᐅᐣᒋ ᑲᑮᓑᑲᐧᐱᒪᑎᓯᐨ ᒨᓯᐢ ᐋᒥᐠ

ᒨᓯᐢ ᐋᒥᐠ, 56, ᑮᓑᑲᐧᐱᒪᑎᓯᐸᐣ ᐃᐦᐃᒪ ᐋᐦᑯᓰᐃᐧᑲᒥᑯᐣᐠ ᒣᑲᐧᐨ ᑮᔐᐃᐧ ᑮᓯᐢ 13, 2017, ᐁᐃᓑᑲᐧ ᐊᐣᒋᐃᐧᓇᑲᓀᐨ ᐃᐦᐃᒪ ᑕᐣᑐᕒ ᐯ ᑕᑯᓂᑏᐃᐧᑲᒥᑯᐣᐠ. ᐃᐦᐃᐁᐧ ᓇᓇᑲᒋᒋᑫᐃᐧᐣ ᐅᐣᒋ ᑲᑮᓑᑲᐧᐱᒪᑎᓯᐨ ᐃᓇᑌ ᐃᓇᑯᓂᑫᐃᐧᐣ ᒋᑐᒋᑲᑌᐠ ᑲᐃᓇᑌᐠ ᐃᐦᐃᒪ ᐆᓇᓇᑲᒋᒋᑫ ᐃᓇᑯᓂᑫᐃᐧᓂᐣᐠ.

Inquest into the Death of Samuel Maloney

Mr. Maloney, 35, died on December 23, 2016, after being shot by officers of the London Police Service. An inquest into his death is mandatory under the Coroners Act.

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