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. 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.Īfter 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. 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 1-80 or (204) 945-2088. Most of the Inquest Reports found below can be downloaded. The date referenced is the date that the Inquest Report was publicly released. 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.īelow is an index of the recent Inquest Reports issued by a judge of the Provincial Court. Inquests are presided over by judges of the Provincial Court of Manitoba. Under The Fatality Inquires Act, the Chief Medical Examiner may direct that an inquest be held into the death of a person. Dead Rules is the wildly funny, dark and disturbing, yet light, and at times sweet, debut young adult novel from author Randy Russell.

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