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 Sort descending | Date | Coroner | Related orders and rulings | Responses to recommendations |
---|---|---|---|---|---|---|
Nicholas Raymond Lobo | COR 2008 4896 | Finding into death with inquest | 01/12/2009 | Deputy State Coroner Iain West | ||
Kenneth James Stephens | COR 2016 5017 | Finding into death with inquest | 23/02/2018 | Coroner Peter White | ||
Kevin Gary Dow | COR 2009 5105 | Finding into death with inquest | 27/07/2013 | State Coroner Judge Ian L Gray | ||
Susanne Maree Deeker | COR 2013 5194 | Finding into death with inquest | 17/07/2014 | Coroner Audrey Jamieson | ||
Laurel Faith Howard | COR 2008 5806 | Finding into death with inquest | 20/05/2010 | Deputy State Coroner Paresa Spanos | ||
Jordan Marcus Farr Pang | COR 2013 5898 | Finding into death with inquest | 17/02/2017 | Coroner Audrey Jamieson | ||
Stephanie Louise Meredith | COR 2007 2125 | Finding into death with inquest | 21/10/2013 | Coroner Dr Jane Hendtlass | |
|
Ena Edith Vickers | COR 2012 3130 | Finding into death with inquest | 25/02/2016 | Coroner Phillip Byrne | ||
Leslie Hawkins | COR 2018 5253 | Finding into death with inquest | 21/08/2019 | Coroner Caitlin English | ||
Barry Scott Collins | COR 2020 0646 | Finding into death with inquest | 04/12/2020 | Deputy State Coroner Paresa Spanos |