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 ascending | Date | Coroner | Related orders and rulings | Responses to recommendations |
---|---|---|---|---|---|---|
Audrey Florence Eleanor Ebbage | COR 2014 6367 | Finding into death without inquest | 30/05/2016 | Coroner Jacqui Hawkins | ||
Stephen Ross Wakefield | COR 2017 2909 | Finding into death without inquest | 21/08/2018 | Coroner Michelle Hodgson | ||
Thomas Murphy | COR 2018 3024 | Finding into death without inquest | 20/02/2019 | Coroner Phillip Byrne | ||
Kerri Michelle Moore | COR 2018 3992 | Finding into death without inquest | 28/03/2019 | Coroner Phillip Byrne | ||
Baby L | COR 2017 5842 | Finding into death without inquest | 17/06/2019 | Coroner Simon McGregor | ||
Emma Louise Saunders | COR 2017 3115 | Finding into death without inquest | 20/06/2019 | Coroner Darren Bracken | ||
Glenn Thomas King | COR 2018 1603 | Finding into death without inquest | 17/07/2019 | Coroner John Olle | ||
Rodney Wayne Weise | COR 2019 1771 | Finding into death without inquest | 03/09/2019 | Coroner Simon McGregor | ||
Phillip James King | COR 2017 6443 | Finding into death without inquest | 07/10/2019 | Coroner Audrey Jamieson | ||
Samuel Alexander Chilton | COR 2019 0849 | Finding into death without inquest | 06/01/2020 | Coroner Michelle Hodgson | Allansford Football Netball Club and Allansford Cricket Club were required to respond by April 2020. No response has been received to date. |