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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 Sort descending Date Coroner Related orders and rulings Responses to recommendations
Gary James Cook COR 2009 0015 Finding into death with inquest 11/10/2012 Coroner Gerard Robert Bryant
Lorraine Therese Patrick COR 2011 0067 Finding into death with inquest 18/09/2012 Coroner Heather Spooner
Leanne Margaret Patterson COR 2013 0122 Finding into death with inquest 16/11/2015 State Coroner Judge Ian L Gray
Mark Ritchie COR 2006 0223 Finding into death with inquest 18/06/2010 Coroner Paresa Spanos
Robert Przychodski COR 2015 0337 Finding into death with inquest 30/10/2015 Coroner Rosemary Carlin
Unknown Baby COR 2008 4040 Finding into death with inquest 15/01/2010 Coroner Dr Jane Hendtlass
Baby N COR 2010 0451 Finding into death with inquest 06/07/2012 Coroner John Olle
Robert Vivian Hawkins COR 2010 0520 Finding into death with inquest 27/08/2014 Coroner Jacinta Heffey
Nola Margaret Moxon COR 2009 0577 Finding into death with inquest 12/09/2014 Coroner Peter White
Unknown Remains COR 2011 0655 Finding into death with inquest 22/09/2011 Coroner Kim M. W. Parkinson