Hiram Silva, the man who shot and killed three people at a home on Waiʻanae Valley Road over Labor Day weekend, died of a gunshot wound to the torso, according to his autopsy report released Monday by the Honolulu Medical Examiner’s Office. 

He also had a blood alcohol content of 0.182%, more than twice the legal driving limit, according to the report. 

Silva, 59, rammed a frontloader into his neighbor’s home on the night of Aug. 31 before opening fire on people as they tried to flee. 

He fatally shot Cherell Keamo, 36, Courtney Raymond-Arakaki, 34, and Jessyca Amasiu, 29, and wounded two others before he was shot and killed by one of the home’s residents, Rishard Keamo-Carnate. 

Silva’s autopsy report shows that he was shot three times, once in the upper arm and torso, once in the left back and once in his left hand. 

He also had a history of hypertension and moderate alcohol use disorder.

The Keamo-Carnate family and their attorney, Michael Green, are pursuing a lawsuit against Silva’s estate, the Honolulu Police Department and the city. Green has said authorities failed to respond to concerns raised repeatedly by the Keamo-Carnate family about Silva and illegal parties he was hosting in a quonset hut on his property.