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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 Sort ascending Coroner Related orders and rulings Responses to recommendations
Shirley Annette Kidd COR 2022 002885 Finding into death without inquest 28/05/2025 State Coroner Judge John Cain
COR 2021 003468 Finding into death with inquest 26/05/2025 Deputy State Coroner Paresa Spanos
Bradley Kenneth Albert Craig COR 2024 003855 Finding into death without inquest 23/05/2025 Coroner Audrey Jamieson
Michael James Batten COR 2022 004773 Finding into death without inquest 23/05/2025 Coroner Catherine Fitzgerald
Lorraine Joy Wight COR 2023 005105 Finding into death without inquest 23/05/2025 Coroner Audrey Jamieson
Dorothy Lynette Vasiliou COR 2024 002003 Finding into death without inquest 23/05/2025 Coroner Audrey Jamieson
Jessica Anne Katgert COR 2023 003446 Finding into death without inquest 23/05/2025 Coroner Audrey Jamieson
Phillip Henry Reidy COR 2024 003732 Finding into death with inquest 22/05/2025 Coroner Paul Lawrie
Nazlou (Helen) Danilidis COR 2024 003534 Finding into death without inquest 22/05/2025 Coroner Simon McGregor
Alexander Petricca COR 2024 003024 Finding into death without inquest 21/05/2025 Coroner Simon McGregor