In a report released Thursday, the coroner detailed the circumstances leading to Rharouity's death and made a series of recommendations about improving safety in the Montreal Metro system.
According to the coroner's report, Rharouity's scarf, coat and hair got stuck in the escalator. The injuries she sustained when her hair got stuck in the escalator contributed to her death.
"The woman was strangled by her scarf and her scalp was lacerated by the teeth of the escalator before the machine stopped," the report concluded.
According to information the STM supplied to the coroner’s office, the escalator at Fabre was inspected and maintained regularly. However, four incidents involving falls or clothing caught in the stairs have happened since 2012.
The coroner also looked more broadly at the Metro system. In a sample of 20 escalators — a fraction of the STM’s 298 moving staircases — the coroner noted 24 incidents. Two of them involved clothing, while most of them involved falls.
It said that the number of incidents is relatively low taking into consideration that the STM has 68 Metro stations with escalators, and that 1.3 million trips are taken a day on the Metro.
However, the coroner reported, the STM should improve its escalator maintenance program.
"Although it is not statistically dramatic per se, it seems there should be greater attention paid to the usage and maintenance of escalators," the report read.