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 Sort descending | Date | Coroner | Related orders and rulings | Responses to recommendations |
---|---|---|---|---|---|---|
Sabrina Michelle Brady | COR 2009 2038 | Finding into death with inquest | 30/03/2011 | Coroner Heather Spooner | ||
Frederick Russell Morgan | COR 2013 2106 | Finding into death with inquest | 13/08/2014 | Coroner Audrey Jamieson | ||
Reginald John Brooks | COR 2014 2170 | Finding into death with inquest | 15/03/2016 | Coroner Phillip Byrne | ||
Damien John Spooner | COR 2009 2211 | Finding into death with inquest | 28/10/2013 | State Coroner Judge Ian L Gray | ||
Narelle Ena Clancy | COR 2011 2317 | Finding into death with inquest | 07/05/2015 | Coroner Audrey Jamieson | ||
Kathryn Margaret Ray | COR 2005 2434 | Finding into death with inquest | 26/06/2014 | Coroner Audrey Jamieson | ||
Leigh Joseph Riley | COR 2015 2490 | Finding into death with inquest | 31/08/2016 | State Coroner Judge Sara Hinchey | ||
Andrew Gilmore | COR 2009 2564 | Finding into death with inquest | 27/11/2013 | Coroner Kim M. W. Parkinson | ||
Unknown Remains Comprising Human Cranium | COR 2009 2745 | Finding into death with inquest | 23/03/2010 | Coroner Kim M. W. Parkinson | ||
Dara Francis Michael Cooke | COR 2008 2868 | Finding into death with inquest | 17/11/2012 | Coroner Audrey Jamieson |