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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 Coroner Sort descending Related orders and rulings Responses to recommendations
Mark Jordan-Hill COR 2016 5253 Finding into death without inquest 08/01/2018 State Coroner Judge Sara Hinchey
George Germanos COR 2001 0819 Finding into death with inquest 17/06/2016 State Coroner Judge Sara Hinchey
Vincenzo Mannella COR 1999 0094 Finding into death with inquest 31/08/2017 State Coroner Judge Sara Hinchey
Nicolas Russell Miles COR 2015 0204 Finding into death without inquest 09/08/2016 State Coroner Judge Sara Hinchey
Wye River and Separation Creek Wye River and Separation Creek Fire COR 2016 0308 Finding into fire without inquest 23/05/2018 State Coroner Judge Sara Hinchey
Nikolai Radev COR 2003 1166 Finding into death with inquest 08/12/2016 State Coroner Judge Sara Hinchey
Marie-Faith Chantal Abla Fiawoo COR 2013 1339 Finding into death without inquest 04/06/2018 State Coroner Judge Sara Hinchey
Savannah Price-Mihayo COR 2014 2013 Finding into death without inquest 14/02/2017 State Coroner Judge Sara Hinchey
Noel Faure COR 2016 6218 Finding into death without inquest 23/06/2017 State Coroner Judge Sara Hinchey
Patelesio Kenner COR 2017 0558 Finding into death without inquest 10/07/2018 State Coroner Judge Sara Hinchey