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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
Theand Youvanis COR 2011 0920 Finding into death with inquest 25/07/2012 Coroner Heather Spooner
Joshua Meloury_Kaup COR 2010 1803 Finding into death with inquest 18/07/2012 Coroner Susan Jane Armour
Mark Winter COR 2009 3471 Finding into death with inquest 16/07/2012 Coroner Jacinta Heffey
Dishita Madamshetty COR 2007 3907 Finding into death with inquest 16/07/2012 Coroner Kim M. W. Parkinson
Ruben Chand COR 2009 1679 Finding into death with inquest 16/07/2012 Coroner Kim M. W. Parkinson
Baby J COR 2010 2580 Finding into death with inquest 06/07/2012 Coroner John Olle
Baby N COR 2010 0451 Finding into death with inquest 06/07/2012 Coroner John Olle
Angela Jade Bannister COR 2008 3094 Finding into death with inquest 04/07/2012 Coroner Richard Wright
Pruseyus Lily Sharp COR 2009 1665 Finding into death without inquest 03/07/2012 Coroner Jacinta Heffey
Perera and Perera COR 2006 0873 Finding into death with inquest 03/07/2012 State Coroner Judge Jennifer Coate