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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. 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.

    Findings list

    Name Case ID Case type Date Sort ascending Coroner Related orders and rulings Responses to recommendations
    Sonya Szala COR 2016 4755 Finding into death with inquest 28/11/2019 Coroner Phillip Byrne
    Sonya Szala COR 2016 4755 Finding into death with inquest 28/11/2019 Coroner Phillip Byrne
    Reece Arthur Hyde COR 2019 3008 Finding into death without inquest 12/11/2019 Coroner Jacqui Hawkins
    Finn Moser COR 2017 0191 Finding into death without inquest 11/11/2019 Coroner Simon McGregor
    Hilda Joan Berg COR 2016 6019 Finding into death with inquest 11/11/2019 Coroner Audrey Jamieson
    Robert Szlamowicz Cor 2019 2230 Finding into death without inquest 07/11/2019 Coroner Simon McGregor
    Armani El-Sayegh COR 2019 4031 Finding into death without inquest 31/10/2019 Coroner Jacqui Hawkins
    Cameron Andrew MacLellan COR 2017 5171 Finding into death without inquest 30/10/2019 Coroner Audrey Jamieson
    Sanaya Sahib COR 2016 1599 Finding into death without inquest 30/10/2019 Coroner Caitlin English
    Peter Allen Bain COR 2018 5661 Finding into death without inquest 30/10/2019 Coroner Darren Bracken