Week 3 at the Ashley Smith inquest

Canadian Press reporter Colin Perkel has been live tweeting since the beginning of the Ashley Smith coroner's inquest and his coverage has provided insight into both the details of what happened and the emotion behind the tragic event. All within the 140-character limit.

  1. Week 3 of the inquest got underway amid messy freezing rain in Toronto:
  2. Sloppy morning as we await start of cross-examination of CX2 Blaine Phibbs, ex-front-line guard at Grand Valley Institution. #AshleySmith
  3. Phibbs was one of the few guards who seemed to have a positive rapport with Smith. Disciplined for saving her a few times. #AshleySmith
  4. Howard Rubel, lawyer for Union of Canadian Correctional Officers, up first to cross Phibbs. Should be friendly. #AshleySmith
  5. Front-line guards (or primary workers) had no input into Smith treatment. ‘We were not included in her decisions’ #AshleySmith
  6. Phibbs once used a plastic shield to knock Smith's hands away from food slot. Managers debated destroying video of incident. #AshleySmith
  7. Phibbs told bosses: ‘Don’t destroy it. I’m fine with what happened.’ #AshleySmith
  8. Smith was at GVI for 12 weeks. Phibbs wrote 100 observation reports about her. Cut ‘at minimum 50 ligatures’ from her neck. #AshleySmith
  9. Phibbs says he saw her turn blue ‘at least 25’ times. Bit of a game going on in which she tried to entice officers into cell #AshleySmith
  10. During Smith's first stay at GVI (May 10 - June 26, 2007), Phibbs was commended by management/warden for intervening with her #AshleySmith
  11. Many occasions, guards would go in to remove ligatures. Lots of commotion, but no signs Smith was in any distress. #AshleySmith
  12. Mid-June, management direction changed from thanking guards for intevening to barring them from going in. Guards defied orders#AshleySmith
  13. Result was reprimands for guards who entered her cell. 'Some managers' didn't like no-entry directive either. #AshleySmith
  14. Guards had to assess, through knee-level slot in door, if Smith in distress, whether breathing properly. She also hid herself. #AshleySmith
  15. No training given to guards as to how to assess distress. 'The only instruction we were given is: You'll know.' #AshleySmith
  16. Orders for Smith's 2nd stay: ‘Don’t enter the cell, as long as she’s breathing.’ Complained to managers. Union got involved. #AshleySmith
  17. Threats of discipline escalated as guards insisted on entering cell, even when turned dark purple. Never told to go in sooner. #AshleySmith
  18. Orders to guards in last week of her life: 'Remain vigilant,' 'do not over react,' don't be in 'heightened state' #AshleySmith
  19. Julian Falconer now on feet. 'Mr. Phibbs. You have been through an extraordinary journey.' #AshleySmith
  20. In hindsight, would you have gone into cell sooner? ‘Knowing now, that she passed away, yes, I would have gone in sooner’ #AshleySmith
  21. But he knew he was ordered against entering cell. Phibbs: still believes Smith never meant to kill herself. #AshleySmith
  22. Falconer: ‘U couldn’t save her life.’ Phibbs: ‘I also said I didn’t think she was going to complete her suicide.’ #AshleySmith
  23. Relationship between guards union and management was ‘tense.’ Smith was a 'hot potato,' Falconer says. #AshleySmith
  24. Smith was known to assault guards. So workaround (to preserve labour peace)? Don’t enter cell, Falconer says #AshleySmith

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