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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
    Grant White COR 2017 4581 Finding into death with inquest 14/10/2019 Coroner Audrey Jamieson
    Liana Pickup COR 2018 0747 Finding into death without inquest 10/10/2019 Coroner John Olle
    Michael Travis Kidd COR 2016 5874 Finding into death without inquest 09/10/2019 Coroner Caitlin English
    Sophie Margery Nicholas COR 2016 4391 Finding into death without inquest 07/10/2019 Coroner John Olle
    Tre Leigh Lawson COR 17 5779 Finding into death without inquest 07/10/2019 Coroner Caitlin English
    Phillip James King COR 2017 6443 Finding into death without inquest 07/10/2019 Coroner Audrey Jamieson
    Trevor John O'Brien COR 2018 1914 Finding into death without inquest 04/10/2019 Coroner Audrey Jamieson
    Joan Christine Harrison COR 2018 0895 Finding into death without inquest 04/10/2019 Coroner Audrey Jamieson
    Antonios Vitou COR 2019 0591 Finding into death without inquest 02/10/2019 Coroner Simon McGregor
    Tangimama Tavai COR 2016 6008 Finding into death without inquest 26/09/2019 Coroner Simon McGregor