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|
|Gary William Kennedy||COR 2022 004708||Finding into death without inquest||27/10/2022||Coroner Simon McGregor|
|Ying Ying Zhou||COR 2019 005030||Finding into death with inquest||25/10/2022||State Coroner Judge John Cain|
|Kenneth Ernest O'Brien||COR 2017 004637||Finding into death without inquest||25/10/2022||Coroner Audrey Jamieson|
|Vittorina Ipsa||COR 2021 001330||Finding into death without inquest||25/10/2022||Coroner Paresa Spanos|
|Wei Hu||COR 2019 005029||Finding into death without inquest||24/10/2022||State Coroner Judge John Cain|
|Tracey Lee Cooke||COR 2020 004764||Finding into death without inquest||21/10/2022||Coroner Leveasque Peterson|
|Paul Henry Green||COR 2021 005288||Finding into death without inquest||20/10/2022||Deputy State Coroner Jacqui Hawkins|
|Warren Douglas Frazer||COR 2018 004883||Finding into death without inquest||20/10/2022||Coroner Darren Bracken|
|Shawn James Marion||COR 2019 004229||Finding into death without inquest||20/10/2022||Coroner Audrey Jamieson|
|Heather Jean Lucas||COR 2020 001584||Finding into death without inquest||20/10/2022||Coroner Darren Bracken|