Skip to main content Skip to home page

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
    Travis John Cashmore COR 2022 004092 Finding into death with inquest 24/10/2023 Coroner Katherine Lorenz
    Kylie Jane Fowler COR 2011 0097 Finding into death with inquest 06/03/2014 State Coroner Judge Ian L Gray
    Christian Gonzalo Diaz COR 2008 0145 Finding into death with inquest 03/05/2010 Coroner Audrey Jamieson
    John Alfred Wailes COR 2011 0211 Finding into death with inquest 29/02/2012 Coroner Kim M. W. Parkinson
    Peter Andrew Ross COR 2007 0254 Finding into death with inquest 28/10/2011 Coroner John Olle
    Taner Kirim COR 2009 0287 Finding into death with inquest 17/02/2011 Coroner John Olle
    George Albert John Hutton COR 2010 0376 Finding into death with inquest 26/11/2012 Coroner Stella Stuthridge
    Deborah Margaret Ricklefs COR 2007 0493 Finding into death with inquest 15/03/2010 Coroner Audrey Jamieson
    Benjamin Elijah Mills COR 2013 0593 Finding into death with inquest 15/10/2014 State Coroner Judge Ian L Gray
    Stephen William Summers COR 2006 0650 Finding into death with inquest 05/06/2013 Coroner Dr Jane Hendtlass