Canadian Centre for Justice Statistics
Include only those police officers who were killed for reasons related to their occupation, regardless of whether the officer was on or off duty at the time.
- Incident file number
- Name of victim
- Surname
- First name
- Number of years of service as a police officer
- Indicate number; or
- Less than one year
- Number of years of service with present police service
- Indicate number; or
- Less than one year
- Victim's Rank
- Officer
- Non-commissioned officer
- Constable
- Special constable
- Cadet
- Auxiliary
- Type of assignment
- Foot patrol
- One-officer vehicle
- Two-officer vehicle
- Detective
- Special assignment
- Undercover
- Off-duty
- Other (specify)
- Unknown
- Victim in uniform
- Yes
- No
- Priority given to dispatch
- Not dispatched
- High
- Low
- Unknown
- Involvement of other officers
- Alone, no assistance requested
- Alone, assistance requested
- Assisted by other officers
- Unknown
- Did victim use firearm?
- Yes, fired
- Yes, drew, displayed
- No
- Unknown
- Did victim attempt to fire?
- Not applicable, victim fired
- Yes
- No
- Unknown
- Was victim disarmed?
- Not applicable, victim fired
- Yes
- No
- Unknown
- Did other officers use firearms?
- Yes, fired
- Yes, drew, displayed
- No
- Unknown
- Was offender shot by a police officer?
- Not applicable, officer(s) did not shoot
- Yes
- No
- Unknown
- Has victim received firearm training?
- Yes
- No
- Unknown
- Victim's firearm
- Revolver
- Semi-automatic
- Rifle
- Shotgun
- Did victim carry a back-up weapon?
- Yes
- No
- Unknown
- Type of back-up weapon
- Not applicable, no back-up
- Firearm
- Other (specify)
- Unknown
- Did victim use back-up weapon?
- Not applicable, did not have one
- Yes
- No
- Unknown
- Number of shots fired by offender
- Indicate number; or
- Not applicable
- Fired, number of shots unknown
- Unknown
- Did victim wear protective body armor?
- Yes
- No
- Unknown
- Location of victim wounds (check all that apply)
- Front head
- Rear head
- Neck/throat
- Front upper torso/chest
- Rear upper torso/chest back
- Front lower torso/stomach
- Rear lower torso/back
- Front below waist
- Rear below waist
- Arms/hands
- Which of the above was the fatal injury?
- Specify; or
- Unknown
- Circumstances surrounding the victim's death
- Person with firearm
- Domestic quarrel (dispute)
- Robbery
- Break and enter
- Barricaded person, hostage taking
- Drug related
- Disturbance (bar fight, other)
- Suspicious persons
- Civil order (mass disturbance)
- Handling or transporting of prisoners
- Attempting arrest
- Accident investigation
- Traffic pursuit
- Routine spot check
- Investigative activity (surveillance, etc)
- Ambush, unprovoked attack
- Other (specify)
- Unknown
Authorization: This authorizes the Chief Statistician of Canada to disseminate information on this questionnaire, excluding personal identifiers, to the public.
- Signature:
- Name of official (please print):
- Date:
Information for respondents
Authority:
Statistics Act, Revised Statutes of Canada, 1985, Chapter S19.
Objective:
This survey collects essential data to produce statistics on the incidence and characteristics of homicide offences in Canada. The information is used by federal and provincial policymakers as well as public and private researchers. The data are also widely disseminated by the media for purposes of general public information.
Confidentiality :
Statistics Canada is prohibited by law from publishing any statistics which would divulge information obtained from this survey that relates to any identifiable respondent / individual without the previous written consent of that respondent / individual. The information reported on this questionnaire will be treated in confidence, used for statistical purposes and published in aggregate form only. The confidentiality provisions of the Statistics Act are not affected by either the Access to Information Act or any other legislation.
Correspondence:
If you require further clarification to complete this questionnaire please contact:
Central Reception, SC 0505
Operations & Integration Division, Statistics Canada
150 Tunney's Pasture Driveway
Ottawa, Ontario, K1A 0T6
Phone: Toll free 1-888-659-8229
Fax: 1-888-883-7999
E-mail: homi-surv@statcan.gc.ca
Thank you for your cooperation