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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 descending Coroner Related orders and rulings Responses to recommendations
    Jock Allan Adams COR 2008 0087 Finding into death with inquest 05/03/2010 Coroner Audrey Jamieson
    Glenn Raymond Johns COR 2008 2085 Finding into death with inquest 05/03/2010 Coroner John Olle
    Terence Thomas Wilson COR 2007 3692 Finding into death with inquest 12/03/2010 Coroner Audrey Jamieson
    Deborah Margaret Ricklefs COR 2007 0493 Finding into death with inquest 15/03/2010 Coroner Audrey Jamieson
    Sharon Ann Looby COR 2009 2186 Finding into death with inquest 17/03/2010 Coroner Kim M. W. Parkinson
    Paul Gledhill COR 2008 2707 Finding into death with inquest 17/03/2010 Coroner Kim M. W. Parkinson
    Magdalena Schauer COR 2007 4443 Finding into death with inquest 22/03/2010 Deputy State Coroner Iain West
    Unknown Remains Comprising Human Cranium COR 2009 2745 Finding into death with inquest 23/03/2010 Coroner Kim M. W. Parkinson
    Gordon Edward Wright COR 2009 5414 Finding into death without inquest 23/03/2010 Coroner E. C. Batt
    Adam Michael Francis Fabre COR 2006 2614 Finding into death with inquest 24/03/2010 State Coroner Judge Jennifer Coate