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Factual findings on specific incidents

  1. In my view, having taken into consideration all the factors set out above, there is credible evidence of acts or omissions that are capable of amounting to mistreatment contrary to Article 3 in the following incidents:
  • D1234 on 28 March 2017;
  • D2416 on 11 April 2017;
  • D1527 in April and May 2017;
  • D687 on 13 May 2017;
  • D1914 on 27 May 2017;
  • D149 on 31 May 2017;
  • D390 and D1851 on 5 June 2017;
  • D1538 on 3, 6 and 28 June 2017, and D1538 and D865 on 4 July 2017;
  • D2953 on 10, 11 and 16 June 2017;
  • D1275 on 14 June 2017;
  • D313 on 15 June 2017;
  • D2054 on 28 June 2017; and
  • D728 on 6 July 2017.

My factual findings regarding each incident are set out in detail in subsequent chapters within this part of the Report.

  1. I have considered a number of incidents that the Inquiry investigated, as well as others about which Core Participants made submissions. Only incidents that passed Stage 1 of the test outlined above have been considered under Stage 2.