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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. 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 Sort ascending Coroner Related orders and rulings Responses to recommendations
Mr Y COR 2020 002571 Finding into death without inquest 30/06/2022 Coroner Sarah Gebert
Master J COR 2020 005032 Finding into death without inquest 30/06/2022 Coroner Sarah Gebert
H YO COR 2020 002120 Finding into death without inquest 27/06/2022 Coroner Simon McGregor
Dana John Walter COR 2020 004422 Finding into death without inquest 20/06/2022 Coroner Simon McGregor
Brent Andrew Newman COR 2020 001323 Finding into death with inquest 17/06/2022 Coroner Simon McGregor
Paul Turner COR 2018 003864 Finding into death without inquest 07/06/2022 Deputy State Coroner Jacqui Hawkins
Raymond Henry Dempster COR 2020 000172 Finding into death without inquest 07/06/2022 Coroner Simon McGregor
Robert Albert Burns COR 2018 003819 Finding into death without inquest 07/06/2022 Deputy State Coroner Jacqui Hawkins
Micky Craig Revera COR 2019 000905 Finding into death with inquest 03/06/2022 Coroner David Ryan
Phyllis Alma Maud Brady COR 2021 001637 Finding into death without inquest 01/06/2022 Coroner Simon McGregor