Investigating incidents

When an incident involving an offender occurs in one of our institutions or in the community, CSC must determine if further administrative review is needed. The following people may convene an investigation or file a review:

The investigation or review is done to:

When a Board of Investigation (BOI) is convened, they report on findings and recommendations (if any) to assist in preventing similar incidents from occurring in the future.

Relevant policy and legislation

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Independent Review Committees

Independent Review Committees (IRCs) are convened every two to three years to provide CSC with an external review of non-natural deaths in custody. CSC's first IRC was convened in 2010. This was a response to a recommendation made by the Office of the Correctional Investigator's 2007 report called Deaths in Custody.

IRC reports are available on our publications page:

Coroner's/medical examiner's inquests/inquiries

When the death of an offender occurs while either in custody or during release to the community, the coroner/medical examiner of the province/territory where the death occurred is immediately notified by CSC.

It is the responsibility of each province/territory to conduct an inquest/inquiry into these incidents in line with provincial/territorial legislation.

The inquest/inquiry process reviews the circumstances in which the death occurred and makes recommendations, if required, in order for CSC to improve its interventions with offenders and its ability to prevent such incidents. This process is concurrent and independent of CSC's Board of Investigations.

Inquest and inquiry response procedures

When a verdict from an inquest or inquiry is received from a coroner or medical examiner it can take two forms:

When recommendations are presented from these inquests/inquiries, CSC formally responds.

For more information related to CSC's processes with respect to deaths in custody:

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