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.
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. Anyone 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.
|Name||Case ID||Case type||Date Sort ascending||Coroner||Related orders and rulings||Responses to recommendations|
|Sommer Bethany Warren||COR 2014 5137||Finding into death with inquest||18/03/2020||Coroner Audrey Jamieson|
|PATIENT A||COR 2017 5208||Finding into death with inquest||13/03/2020||Coroner John Olle|
|James Daniel Bankin||COR 2019 4768||Finding into death without inquest||06/03/2020||Coroner Simon McGregor|
|Robert Louis Gerrard||COR2019 4930||Finding into death without inquest||02/03/2020||Coroner Simon McGregor|
|Robb Thomas Lawson||COR 2017 6361||Finding into death with inquest||28/02/2020||Coroner Paresa Spanos|
|James John Wilson||COR 2019 2262||Finding into death without inquest||26/02/2020||Coroner Simon McGregor|
|Zakiya Crystal Lisa Thomas||COR 2015 2417||Finding into death without inquest||24/02/2020||Coroner Darren Bracken|
|Stephen James Johnston||COR 2016 5821||Finding into death with inquest||12/02/2020||Coroner Simon McGregor|
|Dianne Bradley||COR 2016 0418||Finding into death with inquest||11/02/2020||Coroner Audrey Jamieson|
|Ian Chamberlain||COR 2016 0419||Finding into death with inquest||11/02/2020||Coroner Audrey Jamieson|