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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
    Oliver Vincent Paul Cronin COR 2019 005840 Finding into death without inquest 19/10/2022 Coroner Paresa Spanos
    Ms F COR 2020 003913 Finding into death without inquest 16/10/2022 Coroner Sarah Gebert
    Beryl Eileen Brindley COR 2016 005924 Finding into death without inquest 14/10/2022 Coroner Audrey Jamieson
    Baby R COR 2021 003046 Finding into death without inquest 14/10/2022 Coroner David Ryan
    Krystal Fraser COR 2018 001431 Finding into death with inquest 14/10/2022 Coroner Katherine Lorenz
    Mr H COR 2021 000138 Finding into death without inquest 13/10/2022 Coroner Sarah Gebert
    DR K COR 2021 000554 Finding into death without inquest 13/10/2022 Coroner Simon McGregor
    Vasiliki Roussis COR 2020 003550 Finding into death without inquest 12/10/2022 Coroner Darren Bracken
    Muhammad Jaffar Hassan COR 2018 005092 Finding into death with inquest 10/10/2022 State Coroner Judge John Cain
    Fatima Batool COR 2018 003266 Finding into death without inquest 10/10/2022 State Coroner Judge John Cain