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.
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.
|Name||Case ID||Case type||Date Sort ascending||Coroner||Related orders and rulings||Responses to recommendations|
|Mr A||COR 2017 4986||Finding into death without inquest||31/05/2022||Coroner John Olle|
|Mr HP||COR 2019 002655||Finding into death without inquest||31/05/2022||Coroner Paresa Spanos|
|Mr V||COR 2021 001712||Finding into death without inquest||31/05/2022||Coroner Sarah Gebert|
|Choon Jie Chai||COR 2019 002773||Finding into death without inquest||31/05/2022||Coroner Audrey Jamieson|
|Mandy Hawkey||COR 2018 003865||Finding into death without inquest||30/05/2022||Coroner Darren Bracken|
|Jon Gorr||COR 2021 005158||Finding into death without inquest||29/05/2022||Coroner David Ryan|
|Peter John Evans||COR 2020 003449||Finding into death without inquest||27/05/2022||Coroner Catherine Fitzgerald|
|Mohammed Ismael Ibrahim||COR 2020 001403||Finding into death with inquest||26/05/2022||Coroner Leveasque Peterson|
|Sally-Anne Wills||COR 2020 1402||Finding into death with inquest||26/05/2022||Coroner Leveasque Peterson|
|Trevor Anthony Peterson||COR 2020 001509||Finding into death without inquest||26/05/2022||Coroner Simon McGregor|