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 |
---|---|---|---|---|---|---|
Samuel Alexander Chilton | COR 2019 0849 | Finding into death without inquest | 06/01/2020 | Coroner Michelle Hodgson | Allansford Football Netball Club and Allansford Cricket Club were required to respond by April 2020. No response has been received to date. |
|
D M | COR 2019 0031 | Finding into death without inquest | 07/02/2020 | Coroner Michelle Hodgson | ||
Keith Walter Sharp | COR 2017 2583 | Finding into death without inquest | 28/02/2020 | Coroner Simon McGregor | ||
Jane Nola Rolph | COR 2018 5078 | Finding into death without inquest | 04/05/2020 | Coroner Audrey Jamieson | ||
Christina Maree Chamberlain | COR 2018 3423 | Finding into death without inquest | 22/05/2020 | Coroner Audrey Jamieson | ||
Gordon Malcolm Wallace | COR 2018 5646 | Finding into death without inquest | 15/06/2020 | Coroner Audrey Jamieson | ||
Gavin Leslie Boyd | COR 2018 0607 | Finding into death without inquest | 31/08/2020 | Coroner John Olle | ||
David Musicka | COR 2018 1952 | Finding into death without inquest | 29/01/2021 | Deputy State Coroner Caitlin English | ||
Casey Evan Cahill | COR 2019 5525 | Finding into death without inquest | 10/03/2021 | Deputy State Coroner Caitlin English | ||
Aisha Devi Beck | COR 2017 0485 | Finding into death without inquest | 05/05/2021 | Coroner Caitlin English |