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 ascending | Date | Coroner | Related orders and rulings | Responses to recommendations |
---|---|---|---|---|---|---|
Linda Parker | COR 2011 4654 | Finding into death without inquest | 30/08/2016 | State Coroner Judge Sara Hinchey | ||
Robert James Alexander Angus Anstice | COR 2015 4768 | Finding into death without inquest | 23/11/2016 | Coroner Audrey Jamieson | ||
Stephanie Jean Winberg | COR 2009 4922 | Finding into death without inquest | 28/11/2014 | State Coroner Judge Ian L Gray | ||
ARCHIVE Finding Hunter Joseph Stewart | COR 2012 4996 | Finding into death without inquest | 12/02/2016 | Deputy State Coroner Paresa Spanos | ||
Marjorie Edith St Clair | COR 2013 5123 | Finding into death without inquest | 20/01/2015 | Coroner Rosemary Carlin | ||
Sandra Mary Carroll | COR 2016 5310 | Finding into death without inquest | 12/02/2018 | Coroner Caitlin English | ||
Bryan Joseph Clothier | COR 2014 5764 | Finding into death without inquest | 14/04/2015 | Coroner Phillip Byrne | ||
Baby B | COR 2014 4591 | Finding into death without inquest | 26/10/2018 | Coroner Caitlin English | ||
Vicki Maree Hay | COR 2018 4042 | Finding into death without inquest | 28/03/2019 | Coroner Phillip Byrne | ||
Seker Yildiz | COR 2015 2302 | Finding into death without inquest | 15/02/2019 | Deputy State Coroner Iain West |