Findings
A written finding is a formal document handed down by a coroner following an investigation into a death or fire and is generally the final step in the coronial investigation process. A written finding is made regardless of whether an inquest is held or not.
A written finding following an investigation into a death will usually, if possible, include:
- the identity of the person who died
- the time, date, and location where the death occurred
- a summary of the evidence relating to the circumstances of the death, in some cases
- comments or recommendations made by the coroner aimed at preventing similar deaths, in some cases.
Findings are published when:
- an inquest was held
- recommendations have been made
- a coroner otherwise orders they be published.
Findings handed down and published are available below.
Search older findings on the Australasian Legal Information Institute database (AustLII).
Please consider that it may be upsetting to read details about a death or fire in an inquest finding. Some information may be graphic or distressing.
Use the search field above to locate a finding. You can search for a name, a case number, type of death or location of death.
Any person may apply for some or all of a finding to be reviewed and/or appealed.
Recommendations
The Coroners Act 2008 allows a coroner to make recommendations as part of their finding following an investigation into a death or fire.
Recommendations can be made to any Minister, public statutory authority or entity that may help prevent similar deaths. A public statutory authority or entity who receives a recommendation from a coroner must respond, in writing, within three months stating what action, if any, has or will be taken.
The Court will publish inquest findings with recommendations and the subsequent responses below.
Findings list
Name | Case ID | Case type | Date | Coroner Sort descending | Related orders and rulings | Responses to recommendations |
---|---|---|---|---|---|---|
Wilhelm Paul Koeppen | COR 2013 5308 | Finding into death with inquest | 11/07/2018 | State Coroner Judge Sara Hinchey | ||
Catherine Elizabeth Browning | COR 2013 5843 | Finding into death without inquest | 09/12/2016 | State Coroner Judge Sara Hinchey | ||
Dermot Michael O'Toole | COR 2013 3056 | Finding into death with inquest | 08/06/2017 | State Coroner Judge Sara Hinchey | ||
Leigh Glenn Travaglia | COR 2009 3998 | Finding into death with inquest | 14/02/2012 | Deputy State Coroner Iain West | ||
Luke Andrew Hyatt | COR 2012 5435 | Finding into death with inquest | 16/12/2013 | Deputy State Coroner Iain West | ||
William John Colhoun | COR 2008 5618 | Finding into death with inquest | 15/08/2013 | Deputy State Coroner Iain West | ||
Seker Yildiz | COR 2015 2302 | Finding into death without inquest | 15/02/2019 | Deputy State Coroner Iain West | ||
Claire Kathleen Fogarty | COR 2011 0004 | Finding into death with inquest | 25/01/2012 | Deputy State Coroner Iain West | ||
Paul Taylor | COR 2011 0515 | Finding into death with inquest | 25/07/2011 | Deputy State Coroner Iain West | ||
Margaret Elizabeth Barton | COR 2015 1527 | Finding into death without inquest | 30/11/2017 | Deputy State Coroner Iain West |