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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 Date Sort ascending Coroner Related orders and rulings Responses to recommendations
    Vlado Tomislav Micetic COR 2013 003776 Finding into death with inquest 22/11/2022 Coroner Audrey Jamieson
    Douglas Earnest Stott COR 2021 000130 Finding into death without inquest 21/11/2022 Coroner Paresa Spanos
    Peter John Holton-Tansing COR 2019 003365 Finding into death without inquest 18/11/2022 Coroner Darren Bracken
    Gregory Bernard Duffy COR 2020 006658 Finding into death without inquest 16/11/2022 Coroner Leveasque Peterson
    Matthew Perinovic COR 2021 000288 Finding into death with inquest 15/11/2022 Coroner Audrey Jamieson
    Anna Perinovic COR 2021 000289 Finding into death with inquest 15/11/2022 Coroner Audrey Jamieson
    Katica Perinovic COR 2021 000287 Finding into death with inquest 15/11/2022 Coroner Audrey Jamieson
    Claire Perinovic COR 2021 000290 Finding into death with inquest 15/11/2022 Coroner Audrey Jamieson
    Maxwell Charles Quartermain COR 2017 000872 Finding into death with inquest 11/11/2022 Coroner Darren Bracken
    Glenn Alan Garland COR 2017 000874 Finding into death with inquest 10/11/2022 Coroner Darren Bracken