Summary
"[The Commissioner's] Terms of
Reference were: to conduct hearings, in or near the City of Vancouver, into the
circumstances of and relating to Mr. Dziekanski’s death;
to make a complete report of the events and circumstances of and
relating to Mr. Dziekanski’s death, not limited to the actual cause of
death;
to make recommendations the commissioner considers necessary and
appropriate; and
to submit a report to the Attorney General on or before a date to be
determined by the Attorney General in consultation with the
Commissioner."--Page 5.
Contents
Part 1. Executive summary and recommendations --
Part 2. The commission of inquiry --
Part 3. Mr. Dziekanski’s trip to Canada --
Part 4. Mr. Dziekanski’s arrival in Vancouver and clearance
to enter Canada --
Part 5. Mr. Dziekanski’s activities in the International
Reception Lounge --
Part 6. The response of the RCMP, Richmond Fire-Rescue, and
BC Ambulance Service --
Part 7. The cause of Mr. Dziekanski’s death --
Part 8. The RCMP’s media response to Mr. Dziekanski’s death --
Part 9. Recent changes at Vancouver International Airport --
Part 10. Postscript: Police investigating themselves.