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 ascending | Case type | Date | Coroner | Related orders and rulings | Responses to recommendations |
---|---|---|---|---|---|---|
Rodney Norman Galvin | COR 2021 006135 | Finding into death with inquest | 03/05/2024 | Coroner Audrey Jamieson | ||
Brian Neil Smith | COR 2021 006040 | Finding into death without inquest | 04/12/2023 | Coroner Simon McGregor | ||
Tai Van Tran | COR 2021 006035 | Finding into death with inquest | 22/02/2024 | Coroner Catherine Fitzgerald | ||
John Disley | COR 2021 005950 | Finding into death without inquest | 17/08/2022 | Coroner Simon McGregor | ||
Robert Arthur Selby Lowe | COR 2021 005913 | Finding into death without inquest | 14/06/2023 | Deputy State Coroner Paresa Spanos | ||
Patricia Backhurst | COR 2021 005893 | Finding into death with inquest | 15/12/2022 | Coroner Paul Lawrie | ||
Shirley Hill Jones | COR 2021 005864 | Finding into death without inquest | 10/04/2024 | Coroner Sarah Gebert | ||
P L | COR 2021 005809 | Finding into death without inquest | 29/02/2024 | Coroner Katherine Lorenz | ||
Reece John Pullen | COR 2021 005749 | Finding into death with inquest | 04/12/2022 | Coroner David Ryan | ||
Ruby-Lee Gold | COR 2021 005748 | Finding into death with inquest | 05/10/2023 | Coroner David Ryan |