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. 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.
|Name||Case ID||Case type||Date Sort ascending||Coroner||Related orders and rulings||Responses to recommendations|
|Bradley Scott Liefvoort||COR 2021 002849||Finding into death without inquest||25/05/2023||Coroner Audrey Jamieson|
|O S||COR 2022 000569||Finding into death without inquest||22/05/2023||Coroner Paresa Spanos|
|COR 2022 003072||Finding into death without inquest||19/05/2023||Deputy State Coroner Jacqui Hawkins|
|P A||COR 2021 004832||Finding into death without inquest||18/05/2023||Coroner Paresa Spanos|
|Dianne Linford||COR 2018 003161||Finding into death with inquest||17/05/2023||Coroner John Olle|
|Nickolaos Vlahos||COR 2021 005736||Finding into death without inquest||16/05/2023||Coroner David Ryan|
|Ian Keith Beissel||COR 2022 3072||Finding into death without inquest||16/05/2023||Deputy State Coroner Jacqui Hawkins|
|Mathew James Luttrell||COR 2018 005721||Finding into death with inquest||16/05/2023||Coroner Audrey Jamieson|
|Jennifer Mary Thomas||COR 2021 003381||Finding into death with inquest||15/05/2023||Coroner David Ryan|
|John Edward Hadland (Millar)||COR 2021 004640||Finding into death with inquest||11/05/2023||Coroner Paul Lawrie|