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 |
---|---|---|---|---|---|---|
Arthur Moumas | COR 2009 3698 | Finding into death with inquest | 11/10/2010 | State Coroner Judge Jennifer Coate | ||
Baby Isabella Rose | COR 2013 3731 | Finding into death with inquest | 13/04/2017 | Deputy State Coroner Paresa Spanos | |
|
Kirat Singh | COR 2013 3852 | Finding into death with inquest | 30/09/2015 | Deputy State Coroner Paresa Spanos | ||
Graeme Andrew Dunn | COR 2007 3914 | Finding into death with inquest | 13/08/2013 | Coroner Dr Jane Hendtlass | ||
Anthony Ian Gaylard | COR 2012 3970 | Finding into death with inquest | 23/09/2013 | Coroner John Olle | ||
Eoin Stephen Murray | COR 2013 4033 | Finding into death with inquest | 27/11/2015 | State Coroner Judge Ian L Gray | ||
Dean Scott Westbrook | COR 2005 4176 | Finding into death with inquest | 25/02/2010 | State Coroner Judge Jennifer Coate | ||
Lily Irwin | COR 2012 4248 | Finding into death with inquest | 28/08/2014 | Coroner Rosemary Carlin | ||
Gregory John Caulfield | COR 2011 4328 | Finding into death with inquest | 08/05/2014 | Deputy State Coroner Iain West | |
|
David Liam Goold | COR 2013 4376 | Finding into death with inquest | 24/11/2014 | Deputy State Coroner Iain West |