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 |
---|---|---|---|---|---|---|
Krizan Vuksan | COR 2013 0615 | Finding into death without inquest | 18/05/2015 | Coroner Caitlin English | ||
Jay Dion Sykes | COR 2013 3768 | Finding into death with inquest | 18/05/2015 | Coroner Audrey Jamieson | ||
Philip John Roberts Hewitt | COR 2012 1620 | Finding into death with inquest | 14/05/2015 | State Coroner Judge Ian L Gray | ||
Duncan Ross | COR 2011 3841 | Finding into death with inquest | 13/05/2015 | State Coroner Judge Ian L Gray | ||
Stewart Neil Padgham | COR 2014 4878 | Finding into death without inquest | 11/05/2015 | Coroner John Olle | ||
Preetika Sharma | COR 2012 1543 | Finding into death with inquest | 08/05/2015 | State Coroner Judge Ian L Gray | ||
Divesh Sharma | COR 2012 1544 | Finding into death with inquest | 08/05/2015 | State Coroner Judge Ian L Gray | ||
Divya Sharma | COR 2012 1545 | Finding into death with inquest | 08/05/2015 | State Coroner Judge Ian L Gray | ||
Nilesh Sharma | COR 2012 1542 | Finding into death with inquest | 08/05/2015 | State Coroner Judge Ian L Gray | ||
Bailey Patman | COR 2012 0230 | Finding into death without inquest | 08/05/2015 | Coroner Caitlin English |