Manitoba Ombudsman receives thousands of complaints and opens hundreds of investigations under our four mandates each year. Investigation reports are only published publicly if the Ombudsman feels the matter in the report is of significant public interest and impact, or when required. Investigation reports may find that a complaint is supported (evidence is found that supports the nature or the complaint) or not supported (no evidence to support the nature of the complaint) and can provide the findings and conclusion of the investigation. In some cases, the report will also have recommendations made to the public body or trustee that we ask them to review, respond to and accept. Our goal is to help improve public services with strengthened practices of fairness, transparency, accountability and privacy protection. Here you will find investigation and monitoring reports, audits and reviews, and annual reports. You will also find our status reports on the implementation of recommendations made in Provincial Court of Manitoba inquests. 

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2006 Annual Report

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annual reports

Recommendation Monitoring of the Inquest into the Death of Rachel Lori Wood

Link to inquest report Rachel Wood died on October 5, 2003 as a result of hanging while in police custody at Nisichawayasihk Cree Nation (Nelson House). Date of inquest report — May 29, 2007; Status…

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inquest monitoring

Recommendation Monitoring of the Inquest into the Death of Christopher John Holoka

Link to inquest report Chistopher Holoka died in Winnipeg on April 15, 2005 as result of methadone poisoning at the Winnipeg Remand Centre. Date of inquest report – May 11, 2007; Status of review –…

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inquest monitoring

Recommendation Monitoring of the Inquest into the Death of Dennis Robinson

Link to inquest report Dennis Robinson died on February 28, 2004 as a result of an epileptic seizure at the Manitoba Developmental Centre in Portage la Prairie, Manitoba. Date of inquest report — March 26,…

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inquest monitoring

Recommendation Monitoring of the Inquest into the Death of Peter Stevenson

Link to inquest report Peter Stevenson died of cardiac arrest on September 2, 2004 at The Pas Health Complex. Date of inquest report — October 25, 2006. Status of review — completed December 24, 2010.

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inquest monitoring

Recommendation Monitoring of the Inquest into the Death of Keyanna Marie Snowdon

Link to inquest report Keyanna Snowdon died on May 12, 2004 by drowning at her foster home in Winnipeg. Date of inquest report — August 1, 2006; Status of review — completed January 4, 2012.

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inquest monitoring

Recommendation Monitoring of the Inquest into the Death of Dennis Junior St. Paul

Link to inquest report Dennis St. Paul died on January 3, 2005 in Norway House, Manitoba as a result of a gunshot wound sustained while being apprehended by the RCMP. Date of inquest report —…

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inquest monitoring

Recommendation Monitoring of the Inquest into the Death of Sharon Joyce Horn

Sharon Horn was discovered frozen on January 3, 2004 in Brandon, Manitoba. Date of inquest report — June 8, 2006; Status of review – completed July 14, 2010. Link to inquest report

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inquest monitoring

2005 Access and Privacy Annual Report

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annual reports

Recommendation Monitoring of the Inquest into the Death of Eric Clipping

Eric Clipping was treated on June 23, 1995 at the Health Sciences Centre (HSC) in Winnipeg after being found injured. He was then taken to the Main Street Project but transported back to the HSC…

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inquest monitoring

Recommendation Monitoring of the Inquest into the Death of Anna Maciocha

Anna Maciocha died on April 5, 2004 as a result of suicide while an involuntary patient at the PsycHealth Unit at the Health Sciences Centre in Winnipeg. Date of inquest report — March 6, 2006;…

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inquest monitoring