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 ascending | Coroner | Related orders and rulings | Responses to recommendations |
---|---|---|---|---|---|---|
Mark Brian Lowther | COR 2023 000077 | Finding into death without inquest | 29/01/2025 | Coroner Ingrid Giles | ||
Edward Grant Harris | COR 2023 001336 | Finding into death without inquest | 28/01/2025 | Coroner Simon McGregor | ||
Dustin Buckley | COR 2017 004281 | Finding into death without inquest | 28/01/2025 | State Coroner Judge John Cain | ||
Sheldon Jay Broderick | COR 2022 003427 | Finding into death without inquest | 24/01/2025 | Coroner David Ryan | ||
Milan Rajic | COR 2023 006502 | Finding into death without inquest | 23/01/2025 | Coroner Simon McGregor | ||
B E | COR 2023 001065 | Finding into death without inquest | 23/01/2025 | Coroner Audrey Jamieson | ||
Bariyow Mohamed Hussein | COR 2024 000551 | Finding into death without inquest | 23/01/2025 | Coroner Simon McGregor | ||
Shanjing Xing | COR 2023 007105 | Finding into death without inquest | 23/01/2025 | Coroner Simon McGregor | ||
Kai Lun Chok | COR 2023 007106 | Finding into death without inquest | 23/01/2025 | Coroner Simon McGregor | ||
Kim Marie Bartolo | COR 2021 006924 | Finding into death without inquest | 22/01/2025 | Coroner David Ryan |