Finding into death of Hassan Jeng
Deceased
Hassan Jeng
Demographics
23y, male
Date of death
2018-01-01
Finding date
2023-02-01
Cause of death
Stab wounds to the chest and back
AI-generated summary
Hassan Jeng, a 23-year-old remand prisoner with a history of mental illness and substance use, was fatally stabbed multiple times in his cell at Port Phillip Prison on 1 January 2018. CCTV footage clearly documented the sequence of events showing unusual prisoner congregation in and around cell 453, yet correctional officers failed to intervene. The coroner found that dynamic security failings—inadequate monitoring of prisoner movement and congregation, combined with inconsistent staff understanding of acceptable prisoner behaviour—presented a preventable opportunity to intervene before the fatal incident occurred. Despite thorough police investigation, no person has been charged. Key clinical lessons: the importance of recognising vulnerability in custody (P1 psychiatric alert, recent self-harm history), the critical need for consistent application of security protocols, and the value of rigorous staff training on situational awareness.
AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes.
Drugs involved
Contributing factors
- Failure of correctional officers to monitor and challenge prisoner congregation in cell 453
- Inadequate dynamic security on 1 January 2018
- Inconsistency among staff regarding acceptable prisoner behaviour and appropriate response
- Missed opportunity to prevent the assault despite clear CCTV evidence of unusual activity
- Inadequate rigorous training on dynamic security and situational awareness for staff
Coroner's recommendations
- G4S should implement a more rigorous training regime for correctional staff on an annual basis to reinforce the principles of dynamic security and monitoring and managing prisoner behaviour
- Corrections Victoria should develop a policy or protocol to ensure that remand prisoners placed in shared cells are made aware of the option of a separate cell if it is available
- Where a remand prisoner is to be placed in a cell with a sentenced prisoner and capacity exists for separate accommodation, Corrections Victoria should consider offering that option as a matter of practice in future
Full text
Source and disclaimer
This page reproduces or summarises information from publicly available findings published by Australian coroners' courts. Coronial is an independent educational resource and is not affiliated with, endorsed by, or acting on behalf of any coronial court or government body.
Content may be incomplete, reformatted, or summarised. All court orders for redaction and non-publication are respected; documents with technically defective redaction have been excluded from the database entirely. Always refer to the original court publication for the authoritative record.
Copyright in original materials remains with the relevant government jurisdiction. AI-generated summaries and tagging are for educational purposes only, may contain inaccuracies, and must not be treated as legal documents. We welcome feedback for correction —