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 Sort descending | Case type | Date | Coroner | Related orders and rulings | Responses to recommendations |
---|---|---|---|---|---|---|
Angela Diane Atkins | COR 2007 1514 | Finding into death with inquest | 15/03/2011 | Coroner John Olle | ||
Anderina Laura Sanderson | COR 2007 1552 | Finding into death with inquest | 14/04/2011 | Coroner Kim M. W. Parkinson | ||
Katherine Fiona Walton | COR 2007 1561 | Finding into death with inquest | 28/05/2010 | Deputy State Coroner Paresa Spanos | ||
Rosalie Anne King | COR 2007 1720 | Finding into death with inquest | 20/06/2014 | Coroner Jacqui Hawkins | ||
Grant Elliot Phillips | COR 2007 1735 | Finding into death with inquest | 12/10/2012 | Coroner Audrey Jamieson | ||
Kylie Anne Lightfoot | COR 2007 1741 | Finding into death with inquest | 20/12/2013 | Coroner Peter White | ||
Jerry Karamesinis | COR 2007 1804 | Finding into death with inquest | 05/10/2011 | State Coroner Judge Jennifer Coate | |
|
Joeanne Maree Brady | COR 2007 1816 | Finding into death with inquest | 14/01/2010 | Coroner John Olle | ||
Anthony Mandel | COR 2007 1877 | Finding into death with inquest | 21/07/2011 | Deputy State Coroner Iain West | ||
Luciano T | COR 2007 1893 | Finding into death with inquest | 16/08/2011 | State Coroner Judge Jennifer Coate |