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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 Coroner Sort descending Related orders and rulings Responses to recommendations
    Indianna Price-Mihayo COR 2014 2014 Finding into death without inquest 14/02/2017 State Coroner Judge Sara Hinchey
    Sally Brooks COR 2011 2518 Finding into death without inquest 13/09/2016 State Coroner Judge Sara Hinchey
    Paul Anthony Hardy COR 2016 5998 Finding into death without inquest 17/06/2017 State Coroner Judge Sara Hinchey
    Pelelini Sooula COR 2017 0548 Finding into death with inquest 10/07/2018 State Coroner Judge Sara Hinchey
    Robert Richard Hoff COR 2011 0980 Finding into death with inquest 29/06/2017 State Coroner Judge Sara Hinchey
    Julia Folcik COR 2016 4615 Finding into death without inquest 01/08/2018 State Coroner Judge Sara Hinchey
    Nancy May Budge COR 2016 5227 Finding into death with inquest 11/09/2017 State Coroner Judge Sara Hinchey
    Adam Slomczewski COR 2015 6241 Finding into death with inquest 13/09/2017 State Coroner Judge Sara Hinchey
    George Germanos COR 2001 0819 Finding into death with inquest 17/06/2016 State Coroner Judge Sara Hinchey
    Nikolai Radev COR 2003 1166 Finding into death with inquest 08/12/2016 State Coroner Judge Sara Hinchey