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Manitoba Courts

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

 

  1. Wilfred Lesley Asham - October 17, 2012
  2. Nathan Michael Boryskavich - August 22, 2012
  3. C.J. and C.B. - July 3, 2012
  4. Ahmad Saleh-Azad - September 30, 2011
  5. Maurice Paul Thomas - July 20, 2011
  6. Cheryl Lynn Tom - July 7, 2011
  7. Andrew Szabo - June 17, 2011
  8. Shawn Jones, Raynald Gerling, Brian Palmquist - November 5, 2010
  9. Randy George Krasnesky - September 29, 2010
  10. Devon Chester Newson – December 21,2009
  11. Howard Glenn Fleury - December 4, 2009
  12. Russell Cook – December 1, 200
  13. Zunga Ramadan Bashir - July 20, 2009
  14. Darlene Rose Owens - May 11, 2009
  15. Alan Earle Rupert - April 27, 2009
  16. Grant Ryan Ermine - April 1, 2009
  17. Matthew Adam Joseph Dumas - December 9, 2008
  18. 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
  19. Tracia Owen - January 16, 2008
  20. Mitchell Adam Audy - October 12, 2007
  21. Sherrill Wilfred Forbister - August 24, 2007
  22. Paul Laurent Joubert - August 9, 2007
  23. Rachel Lori Wood - June 4, 2007
  24. Christopher John Holoka – May 16, 2007
  25. Dennis Robinson - March 26, 2007
    Appendix A to the Dennis Robinson Inquest Report
  26. John Erik Demery - December 22, 2006
  27. Melford William Nickoshie - December 11, 2006
  28. Peter Stevenson - October 30, 2006
  29. Keyanna Marie Snowdon - August 1, 2006
  30. Dennis St.Paul - July 19, 2006
  31. Sharon Joyce Horn - June 13, 2006
  32. Eric Clipping - April 26, 2006
    (available only in print from the Office of the Chief Medical Examiner)
  33. Anna Maciocha - March 6, 2006
  34. Calvin Sean Wood - November 28, 2005
  35. Ettie June Morris - September 12, 2005
  36. Glenn Fiddler - September 12, 2005
  37. Alan Nicolson - August 25, 2005
  38. Richard Franklin Lagimodiere - August 12, 2005
  39. Leon Herman Bighetty - August 5, 2005
  40. Laura Lee Draper and Arthur Randy Gill - July 14, 2005
  41. Donald Lorne Miles - January 27, 2005
    Appendix A to the Donald Lorne Miles Inquest Report
  42. Isobel Lathan - September 7, 2004
  43. Susan Capelia Redhead - July 22, 2004
  44. Henry Dueck - April 27, 2004
  45. Baby Collin Dorber Squire - March 29, 2004
    Exhibit List for the Baby Collin Dorber Squire Inquest Report
  46. Lorna Joyce Ballantyne, Conway Wilfred Ballantyne, Baptiste Aaron Ballantyne - March 29, 2004
  47. Nadine Beaulieu - March 12, 2004
    (available only in print from the Office of the Chief Medical Examiner)
  48. Clayton Scott - February 2, 2004
  49. Abraham Hiebert - August 1, 2003
    Exhibit List for the Abraham Hiebert Inquest Report
  50. Joshua Harder - July 22, 2003
  51. Cory Moar - May 14, 2003
  52. Viola Contois - March 27, 2003
  53. Sophia Lynn Schmidt - February 7, 2003
  54. 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
  55. James Friesen and David Schroeder - October 31, 2002
  56. Doreen Leclair and Corrine McKeown - October 29, 2002
    Table of Contents for the Doreen Leclair and Corrine McKeown Inquest Report

 

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