Coroner's Inquests

Inquests are formal court proceedings, with a five- to seven-person jury, held to publicly review the circumstances of a death. The jury hears evidence from witnesses under summons (same as a subpoena) in order to determine the facts of a death. The presiding coroner ensures the jury maintains the goal of fact-finding, not fault-finding.

Upon conclusion of the inquest, a written report known as a Verdict is prepared. It includes the classification of the death and any jury recommendations on how to prevent deaths in similar circumstances. There are two types of Verdict documents posted on this site:

  • Verdict: The jury's verdict is usually posted at the end of the last day of the inquest, and it includes the jury’s findings and any recommendations
  • Verdict with Coroner's Comments: This is the verdict with the presiding coroner's comments and a brief overview of the circumstances of the death. When this document is posted, it replaces the Verdict document (but will still include the jury's recommendations). If you are looking for the verdict for an inquest that is not already posted, please contact the BC Coroners Service

An inquest may be held if the Chief Coroner determines that it would be beneficial for: addressing community concern about a death, assisting in finding information about the deceased or circumstances around a death, and/or drawing attention to a cause of death if such awareness can prevent future deaths. An inquest is mandatory if the deceased was in the care or control of a peace officer (as defined in Part 1 of the Coroners Act) at the time of their death unless the Chief Coroner exercises the discretion provided under Section 18 of the Coroners Act.

2021 Inquest Schedule and Verdicts

Inquest Start Date Location Name of Deceased Type of Inquest Posted Documents Recommendation Responses
Feb. 1, 2021 Burnaby Gauthier, Lindsey Harvey Police-Involved Verdict  
Mar. 1, 2021 Burnaby Brooks, Hudson Daryl Willis Police-Involved  Verdict with Coroner Comments  
June 21, 2021 Port Alberni George, Jocelyn Nynah Marsha Police-Involved Verdict  
Aug. 9, 2021 Prince George Joseph, Alexander Charles Corrections Verdict  
Aug. 30, 2021 Terrace Jeppesen, Nicolas Allan Police-Involved Verdict  
Sept. 27, 2021  Nelson De Groot, Peter John  Police-Involved

Livestream (Coming Soon)

 

Postponed

Smithers Williams, Christopher Jovan & Williams, Shirley Beatrice Police-Involved    
Postponed Nanaimo Ford, Craig Andrew Police-Involved    

Inquest Archive

Inquest Start Date Location Name of Deceased Type of Inquest Posted Documents Recommendation Responses
Sept. 28, 2020 Dawson Creek McIntyre, James Daniel Police-Involved Verdict with Coroner Comments Responses
Nov. 2, 2020  Burnaby Scherbey, Corey John Other Verdict  

Postponed

Smithers Williams, Christopher Jovan & Williams, Shirley Beatrice Police-Involved    
Postponed Nanaimo Ford, Craig Andrew Police-Involved    
 

2019 Inquest Schedule and Verdicts

Inquest Start Date Location Name of Deceased Type of Inquest Posted Documents Recommendation Responses
Feb.19, 2019 Burnaby Mann, Gurwinder Singh Corrections Verdict  
May 21, 2019 Victoria Graham, Bradley Gregory Martins Corrections Verdict with Coroner Comments Responses
June 17, 2019 Victoria Eurchuk, Elliot Cleveland Mental Health Verdict with Coroner Comments Responses
July 15, 2019 Prince George Buehler, John Robert Police-Involved Verdict with Coroner Comments  
Aug. 20, 2019 Campbell River Butters, James Reginald (aka Hayward, James) Police-Involved Verdict with Coroner Comments Responses
Sept. 9, 2019 Smithers Jonker, Jacobus Police-Involved Verdict with Coroner Comments Responses
Oct. 28, 2019 Burnaby Miles, Matthew Charles & Hanna, Kenneth Robert Police-Involved Miles Verdict with Coroner Comments / Hanna Verdict with Coroner Comments Responses
Nov. 12, 2019 Burnaby Murphy, John Michael Corrections Verdict with Coroner Comments Responses
 

2018 Inquest Schedule and Verdicts

Inquest Start Date Location Name of Deceased Type of Inquest Posted Documents Recommendation Responses
Jan. 8, 2018 Burnaby Rood, Travis Police Custody Verdict with Coroner Comments Responses
Feb. 5, 2018 Burnaby Du, Phuong Na "Tony" Police Custody Verdict with Coroner Comments Responses
May 7, 2018 Burnaby Desjarlais, Deanna Renee Missing Person Verdict with Coroner Comments Responses
May 14, 2018 Victoria Boucher, Andre Claude Police Custody Verdict with Coroner Comments n/a
June 11, 2018 Burnaby Dudley, Lisa Cheryl  Homicide Verdict with Coroner Comments Responses
July 9, 2018 Burnaby Salvany Sailes, Juan Carlos Police Custody Verdict with Coroner Comments Responses
July 17, 2018 Burnaby Fisher, William Ryan Corrections Verdict with Coroner Comments Responses
Sept. 17, 2018 Prince George Shanoss, Jamie Wilford Police Custody Verdict with Coroner Comments Responses
Oct. 9, 2018 Burnaby Sakamoto, Charlene Teresa Police Custody Verdict with Coroner Comments n/a
Nov. 5, 2018 Burnaby Hirsi, Abdi Gani Mahamud Police Custody Verdict with Coroner Comments Responses
Nov. 20, 2018 Burnaby Lemaitre, Pierre Jean Dabe Mental Health Verdict with Coroner Comments Responses
Dec. 10, 2018 Burnaby Tucker, David Singh Corrections Verdict with Coroner Comments Responses
Inquest Start Date Location Name of Deceased Type of Death Posted Documents Recommendation Responses
Jan. 16, 2017 Burnaby Jansen, Brandon Juhani Accidental Illicit Drug Overdose Verdict with Coroner Comments Responses
Feb. 20, 2017 Burnaby Vaugeois, Rene Armand Police Custody Verdict with Coroner Comments Response
Mar. 20, 2017 Burnaby Woods, Naverone Christian Landon Police Shooting Verdict with Coroner Comments Responses
May 15, 2017 Victoria Mutch, Rhett Patrick Victor Police Shooting Verdict with Coroner Comments Responses
Nov. 14, 2017 Quesnel Wood, Ebony Aaron Police Custody Verdict with Coroner Comments Responses
Dec. 4, 2017 Burnaby Wilson, Jason-Lee Thomas Police Custody Verdict with Coroner Comments Response
 

2016 Inquest Schedule and Verdicts

Inquest Start Date Location Name of Deceased Type of Death Posted Documents Recommendation Responses
Jan. 11, 2016 Burnaby Cowan, Cheryl Ann Police Custody Verdict with Coroner Comments Responses
Feb. 9, 2016 Burnaby Bayrami, Mehrdad Police Shooting Verdict with Coroner Comments Responses
Apr. 11, 2016 Kamloops Setah, Jacob George Police-related

Verdict with Coroner Comments

Responses
July 18, 2016 Burnaby Roy, Christopher Robert Federal Corrections Verdict with Coroner Comments Response
Sept. 7, 2016 Burnaby Geisheimer, Brian David
Abdi, Sebastien Pavit
Charles, Sarah Louise
Mental Health Verdicts with Coroner Comments: Geisheimer / Abdi / Charles Responses
Oct. 17, 2016 Burnaby Facchin, Maurizio Angelo Police-related Verdict with Coroner Comments  
Nov. 14, 2016 Burnaby Mukuyama, Kevin Seiji Police-related Verdict with Coroner Comments Responses
 

2015 Inquest Schedule and Verdicts

Inquest Start Date Location Name of Deceased Type of Death

Posted
Documents

Recommendation Responses
Feb. 10, 2015 Burnaby Lloyd, Gregory Douglas Police Custody Verdict with Coroner Comments Responses
Mar. 2, 2015 Prince George Roche, Glenn Francis and Little, Alan Harvey Workplace Verdict with Coroner Comments: Roche and Little Responses
Apr. 13, 2015 Burnaby Lahn, Jesse Marcel Federal Corrections Verdict with Coroner Comments Responses
May 4, 2015 Burnaby Langlet, David Lawrence Robert Federal Corrections Verdict with Coroner Comments Responses
June 22, 2015 Burnaby Plante, Gaetan Gilbert Police Shooting Verdict with Coroner Comments Responses
July 13, 2015 Burns Lake

Luggi, Robert Jr. and Charlie, Carl Rodney

Workplace Verdict with Coroner Comments: Luggi  and Charlie Responses
Sept. 28, 2015 Prince Rupert Robinson, Angela Elsie and Robinson, Robert Victor Able Mental Health Verdict with Coroner Comments for Robert and Angie Robinson

Response for Robert and Angie Robinson (updated March 24, 2016) / MCFD Action Plan for inquest recommendations for Robert and Angie Robinson (updated May 2018)

Oct. 19, 2015 Terrace George, Alyssa Josephine Talina Police Custody Verdict with Coroner Comments Responses
Nov. 2, 2015 Burnaby Moosomin, Ernest Shawn Police Custody Verdict with Coroner Comments Responses
Dec. 7, 2015 Burnaby Rezanowicz, Roman William Federal Corrections Verdict with Coroner Comments Response - Jul 21, 2016
 

2014 Inquest Schedule and Verdicts

Inquest Start Date Location Name of Deceased Type of Death Posted
Documents
Recommendation Responses
Jan.
20, 2014
Burnaby Malhi, Surinder Singh Police Custody Verdict
with Coroner Comments
Responses
Recommenced
Jan. 27, 2014
Prince George Matters, Gregory John Police Shooting Verdict with Coroner Comments Responses
Mar. 3, 2014 Duncan Richardson, Jeremy David Police Custody Verdict
with Coroner Coments (Revised Aug. 2016
)
Responses
Mar. 10, 2014 Burnaby Allen, Warren Robert
Cayer, Gerald Joseph
Tombaugh, Kyle Darren
Federal Corrections Verdicts with Coroner Comments Responses
Mar. 24, 2014 Burnaby Cuthbertson, Kevin Neil Federal Corrections Verdict with Coroner Comments  
Mar. 31, 2014 Burnaby Vandenberg, Kyle Martin Police Related Verdict with Coroner Comments Response
May 12, 2014 Burnaby Bertrand, Darcy Richard Federal Corrections Verdict with Coroner Comments Response
June 23, 2014 Burnaby Fast, David Edwin Provincial Corrections Verdict with Coroner Comments Responses
July 7, 2014 Burnaby Ray, Christopher Police Shooting Verdict with Coroner Comments  
July 21, 2014 Burnaby Jacob, Ryan Police Shooting Verdict with Coroner Comments Responses
Sept. 16, 2014 Burnaby Bourque, Roland Joseph Provincial Corrections Verdict with Coroner Comments Responses
Sept. 29, 2014 Burnaby Vega-Jimenez, Lucia CBSA Custody Verdict with Coroner Comments Responses
Oct. 20, 2014 Vernon Haslam, Bradley Michael Thomas Workplace Verdict with Coroner Comments Responses
Nov. 3, 2014 Penticton Scott, Steven Joseph Police Custody Verdict with Coroner Comments Responses
Dec. 8, 2014 Burnaby Crane, Victor Provincial Corrections Verdict with Coroner Comments Response
 

2013 Inquest Schedule and Verdicts

Inquest Start Date Location Name of Deceased Type of Death Posted
Documents
Recommendation Responses
Jan. 16, 2013 Burnaby Slatten, Robert Wayne (Robbie) Correctional Facility Verdict with Coroner Comments Responses
Feb. 5, 2013 Burnaby Guiboche, Ashley Christine Police Involved Verdict with Coroner Comments  
Mar. 11, 2013 Burnaby Smears, Leslie Roy Police Involved Verdict with Coroner Comments Responses
Mar. 25, 2013 Invermere Lee, Chul
Cha, Kwang
Koh, Chungjic
Motor Vehicle Incident Verdict with Coroner Comments Responses
Apr. 15, 2013 Burnaby Kampman, Christopher Police Custody Verdict with Coroner Comments Responses
May 6, 2013 Williams Lake Sargent, Blaine Conrad Provincial Custody Verdict with Coroner Comments Responses
June 24, 2013 Burnaby Purdie, Adam Police Shooting Verdict with Coroner Comments Responses
July 15, 2013 Burnaby Beddow, Brendon Police Shooting Verdict with Coroner Comments Responses
Aug. 6, 2013 Williams Lake Zinser, Justin Larry James Police Shooting Verdict with Coroner Comments Responses
Sept. 16, 2013 Fort St. John Lohouse, Bretton Robert Kent Police Custody Verdict with Coroner Comments  
Oct. 21, 2013 Invermere Wilder, Patrick Roy Police Related Verdict with Coroner Comments Responses
Nov. 12, 2013 Burnaby Mitchell, Angus David Police Custody Verdict with Coroner Comments Responses
Dec. 9, 2013 Burnaby Campbell, Torben Timothy Federal Corrections Verdict with Coroner Comments Responses
 

2012 Inquest Schedule and Verdicts

 
Inquest Start Date Location Name of Deceased Type of Death Posted Documents
Jan. 16, 2012 Penticton Amyotte, Gordon Brent Police Custody Verdict with Coroner Comments
Feb. 6, 2012 Burnaby Parrouty, Laurent Police Custody Verdict with Coroner Comments
Feb. 13, 2012 Williams Lake Engelbert, Charles Henry Logging Accident Verdict with Coroner Comments
Feb. 20, 2012 Burnaby Kooner, Bikermanjit Singh Police Custody Verdict with Coroner Comments
Mar. 5, 2012 Burnaby Knight, Eugene Police Shooting Verdict with Coroner Comments
Mar. 26, 2012 Burnaby Wright, Jeffrey James Alvin Police Shooting Verdict with Coroner Comments
Apr. 2, 2012 Burnaby Wilcox, John Matthew Police Shooting Verdict with Coroner Comments
Apr. 23, 2012 Burnaby Hubbard, Michael Vann Police Shooting Verdict with Coroner Comments
May 7, 2012 Burnaby Tran, Ut
Pham, Han
Chan, Chi Wai (Jimmy)
Farm Accident, Toxic Fumes Verdict with Coroner Comments
May 7, 2012 Campbell River Jones, George Alfred Police Custody Verdict with Coroner Comments
May 14, 2012 Kamloops Bartley, Wilbert Douglas Ross Police Shooting Verdict with Coroner Comments
June 11, 2012 Victoria Andrews, Joan   Verdict with Coroner Comments
July 30, 2012 Burnaby Barnes, Darrell Elroy Police Shooting Verdict with Coroner Comments
Aug. 13, 2012 Kelowna Zimmer, Brandt Jason Police Custody Verdict with Coroner Comments
Sept. 10, 2012 Burnaby Erslavas, John Jason   Verdict with Coroner Comments
Oct. 9, 2012 Cranbrook Kohalyk, Collan Michael Police Custody Verdict with Coroner Comments
Oct. 29, 2012 Burnaby Phillips, Jeremy Michael Prison Death Verdict with Coroner Comments
Nov. 13, 2012 Burnaby Salemink, Colette Marie Mental Health Issues Verdict with Coroner Comments
Nov. 19, 2012 Nelson Sweatman, Sheilah Water Rescue Drowning Accident Verdict with Coroner Comments
Dec. 3, 2012 Burnaby Reed, Patricia Donna Mental Health Issues Verdict with Coroner Comments
 

2011 Inquest Schedule and Verdicts

 
Inquest Start Date Location Name of Deceased Type of Death Posted Documents
Jan. 31, 2011 Duncan Welton, Derek Wayne Police Shooting Verdict with Coroner Comments
Mar. 1, 2011 Burnaby Frechette, Frank Jonathan Police Custody Verdict with Coroner Comments
Mar. 22, 2011 Victoria Rice, John Ian Police Custody Verdict with Coroner Comments
Apr. 26, 2011 Cranbrook Otieno, Isaiah Omondi
Rozenboom, Dirk Bentley
Lehmann, Robert William
Heeb, Edward William
Helicopter Incident Verdicts with Coroner Comments:
Otieno
Rozenboom
Lehmann
Heeb
May 9, 2011 Burnaby Baines, Kenneth Police Shooting Verdict with Coroner Comments
May 31, 2011 Fort Nelson Burke, Jerry Louis Police Custody Verdict with Coroner Comments
June 27, 2011 Burnaby Diffner, Jason Police Custody Verdict with Coroner Comments
July 4, 2011 Cranbrook Asmunt, Marvin Eugene Police Custody Verdict with Coroner Comments
July 25, 2011 Nanaimo Hughes, Jeffrey Scott Police Shooting Verdict with Coroner Comments
Aug. 29, 2011 Fort St. John Geroge, Valeri Police Shooting Verdict with Coroner Comments
Sept. 12, 2011 Terrace Jackson, Rodney Shayne Police Shooting Verdict with Coroner Comments
Oct. 11, 2011 Burnaby Gill, Ropinder Police Custody Verdict with Coroner Comments
Oct. 24, 2011 Burnaby McKay, Garland
Rasmussen, Dwayne
Yellowquill, Stephen
Residential Fire

Verdicts with Coroner Comments:
McKay
Rasmussen
Yellowquill

Nov. 14, 2011 Kamloops Gibbons, John Paul Police Custody Verdict with Coroner Comments
Dec. 12, 2011 Victoria Kozeletski, Hayden Blair   Verdict with Coroner Comments
 

2010 Inquest Schedule and Verdicts

 
Inquest Start Date Location Name of Deceased Type of Death Posted Documents
Feb. 2, 2010 Nanaimo Delorme, William Cory Homicide Verdict with Coroner Comments
Mar. 22, 2010 Kamloops Tucker, Francis Eric Forestry-related Verdict with Coroner Comments
Apr. 26, 2010 Burnaby Whitelaw, Brandon Police Custody Verdict with Coroner Comments
May 18, 2010 Burnaby Stitt, David James Police Custody Verdict with Coroner Comments
Aug. 10, 2010 Burnaby Young, Ian Alexander Police Custody Verdict with Coroner Comments
Aug. 17, 2010 Victoria Vigar, Kevin John Police Custody Verdict with Coroner Comments
Sept. 8, 2010 Burnaby Walker, Scott Alexander Police Custody Verdict with Coroner Comments
Oct. 13, 2010 Kamloops Cardinal, Stanley Steve Police Custody Verdict with Coroner Comments
Oct. 26, 2010 Burnaby Miller, Christine Bernadette Police Custody Verdict with Coroner Comments
Nov. 8, 2010 Burnaby Sandhu, Jasdeep Motor Vehicle Verdict with Coroner Comments
RESCHEDULED Smithers Jackson, Rodney Shayne Police Shooting  
Dec. 13, 2010 Burnaby Boyd, Paul Glenn Police Shooting Verdict with Coroner Comments
 

2009 Inquest Schedule and Verdicts

 
Inquest Start Date Locations Name of Deceased Type of Death Posted Documents
Jan. 12, 2009 Burnaby Kang, Bhupinder Singh Suicide Verdict with Coroner Comments
Feb. 10, 2009 Burnaby Coward, Laura Eileen Police Custody Verdict with Coroner Comments
Apr. 28, 2009 Burnaby Wagemans, Ryan Police Custody Verdict with Coroner Comments
May 19, 2009 Port Hardy Prevost, Albert William Police Custody Verdict with Coroner Comments
June 1, 2009 Burnaby Allan, Ross Alexander Suicide Verdict with Coroner Comments
June 29, 2009 Port Hardy Coon, Debra Marie Police Custody Verdict with Coroner Comments
Sept. 15, 2009 Burnaby Serbeh, Daniel Police Custody Verdict with Coroner Comments
Nov. 2, 2009 Prince George Bouey, Cheryl Ann Police Custody Verdict with Coroner Comments
Nov. 16, 2009 Burnaby Knipstrom, Robert Thurston Police Custody Verdict with Coroner Comments
Dec. 7, 2009 Burnaby Bal, Amarjit Kaur
Sidhu, Sarabjit Kaur
Punia, Sukhwinder Kaur
Motor Vehicle Verdict with Coroner Comments
Dec. 14, 2009 Victoria Lee, Christian Thomas Jin Young
Park, Yong Sun (Sunny)
Chun, Kum Lea
Park, Moon Kyu
Lee, Peter Hyun Joon
Homicide / Suicide Verdict with Coroner Comments
 

2008 Inquest Schedule and Verdicts

 
Inquest Start Date Locations Name of Deceased Type of Death Posted Documents
Jan. 30, 2008 Victoria Turner, Wayne Allan Corrections Facility Verdict with Coroner Comments
Feb. 19, 2008 Port Alberni Tom, Christopher Police Custody Verdict with Coroner Comments
Mar. 31, 2008 Burnaby Lam, Yau Tong Frankie Police Pursuit Verdict with Coroner Comments
May 13, 2008 Burnaby Bertholet, James Hector Police Custody Verdict with Coroner Comments
May 21, 2008 Kelowna Stein, Michael Lee Police Custody Verdict with Coroner Comments
May 27, 2008 Penticton Qualtier, Stephen Police Custody Verdict with Coroner Comments
June 2, 2008 Williams Lake Lewis, Donald Dwayne Police Custody Verdict with Coroner Comments
Aug. 11, 2008 Sechelt Dixon, Merrill Brady Boating Incident Verdict with Coroner Comments
Aug. 25, 2008 Burnaby Tait, Kyle Andrew Police Shooting Verdict with Coroner Comments
Sept. 22, 2008 Terrace Willie, Percival Police Custody Verdict with Coroner Comments
Oct. 7, 2008 Burnaby Pete, Candice Police Custody Verdict with Coroner Comments
Oct. 22, 2008 Fort St. John McPherson, Larry Lee Police Custody Verdict with Coroner Comments
Nov. 4, 2008 Burnaby Hong-Ross, Daniel Police Custody Verdict with Coroner Comments
Nov. 12, 2008 Vernon Klim, Christopher Paul Police Shooting Verdict with Coroner Comments
Nov. 19, 2008 Burnaby McKenna, Cecil Edward Police Custody Verdict with Coroner Comments
Nov. 24, 2008 Port Hardy Nelson, Duane Police Custody Verdict with Coroner Comments
Dec. 8, 2008 Burnaby King, Daniel Antony Police Shooting Verdict with Coroner Comments
 

2007 Inquest Schedule and Verdicts

 
Inquest Start Date Location Name of Deceased Type of Death Posted Documents
June 11, 2007 Prince George Simpson, Amanda Jean Child Death Verdict with Coroner Comments
June 18, 2007 Terrace Von Niederhausern, Rowen Child Death Verdict with Coroner Comments
June 18, 2007 Prince George Leroux, Frank Forestry-related Verdict with Coroner Comments
June 19, 2007 Kamloops Ellis, Robert Michael Police Custody Verdict with Coroner Comments
June 20, 2007 Burnaby Caron, Dwight Anthony Police Custody Verdict with Coroner Comments
July 3, 2007 Prince George Bush, Ian Police Custody Verdict with Coroner Comments
July 9, 2007 Kimberly Currier, Shawn Erickson, Doug Newcombe, Bob Weitzel, Kim Mining Related Verdict with Coroner Comments
Aug. 13, 2007 Victoria Kurash, Michael Kelly Police Custody Verdict with Coroner Comments
Aug. 22, 2007 Kamloops Bauer, Ryan Mathew Police Custody Verdict with Coroner Comments
Sept. 11, 2007 Vernon Louis, Jay Douglas Police Custody Verdict with Coroner Comments
Sept. 25, 2007 Fort St. John Jickels, Christopher Police Custody Verdict with Coroner Comments
Oct. 10, 2007 Fort St. James Wiebe, Serena Leona Marie Child Death Verdict with Coroner Comments
Oct. 22, 2007 Prince George Hall, Savannah Child Death Verdict with Coroner Comments
Nov. 6, 2007 Lytton Abbott, Brent Andrew Police Custody Verdict with Coroner Comments
Nov. 13, 2007 Victoria Seguin, John James Lionel Police Shooting Verdict with Coroner Comments
Nov. 13, 2007 Kelowna Madrusan, Derrick Patrick Police Custody Verdict with Coroner Comments
ADJOURNED Williams Lake Lewis, Donald Dwayne Police Custody Rescheduled to June 2008
Nov. 27, 2007 Victoria Smelts, David Kenneth Police Custody Verdict with Coroner Comments
Dec. 18, 2007 Kelowna Tremeer, Colin Police Custody Verdict with Coroner Comments

 

Inquest Resources