Coronial findings (decisions) 2013

The Magistrates Court (Coronial Division) publishes a small but important amount of records of investigations and findings.

The decision to make these findings available has been made by the Chief Magistrate, or their delegate, or the coroner presiding over the particular investigation, under Coroners Rules 2006.

Publishing a finding is decided on an individual basis, but the coroner may take into account a number of factors:

  • the work of the courts being available to public scrutiny
  • the death prevention role of the coroner
  • family privacy
  • sensitivity of the findings
  • possible harm from making an investigation publically available

In general, authorised findings for publication will include:

  • all public inquest findings
  • motor vehicle crashes
  • long-term missing persons cases
  • homicides after the criminal process has been completed
  • any other death which has been reasonably widely reported in the news media for clarification of the factual findings
  • any death where health and safety recommendations can result in improvements and death prevention (for example, child protection systems issues, deaths in medical settings with recommendations for improvement)
  • any other matter which the coroner believes is in the public interest

Specific findings can be located by entering information in the search box below. Please enter a keyword, name or year of the coronial finding you are looking for.

If you are unable to locate the findings you are looking for, please contact the Coroners’ Office

Please consider that it may be upsetting to read details about a death in an inquest finding.

Table: Coronial findings (decisions) 2013
Title & TASCD number Coroner Date Keyword Responses to Coronial Recommendations
Burns, Tanya Maree
2013 TASCD 431
Simon Cooper 31-12-2013 Incineration, Smoke Inhalation, House Fire, Flame, Smoke, Smoke, Heating, Thermal Mechanism, Electric, Gas Radiator, Heater
Bourke, Simon Francis
2013 TASCD 439
Glenn Hay 24-12-2013 Light Aircraft Crash, Microlight Aircraft, RAAI
Mr T de-identified
2013 TASCD 438
Donald John Jones 10-12-2013 Motor Cycle Accident, Cranial Fractures, Alcohol, Unroadworthy, No Helmet
Glancy, Susan Helen
2013 TASCD 422
Glenn Hay 27-11-2013 Multiple Blunt Traumatic Injuries, Otago Bay, Motor Vehicle Accident, Driver Error
Fyle, Shirley Lorraine
2013 TASCD 421
Christopher Webster 20-11-2013 Pedestrian, Truck, DeBruyns, Criminal Charges
Unidentified Female Infant
2013 TASCD 374
Olivia McTaggart 15-11-2013 Unidentified Female Infant, Willow Avenue and Hawthorne Drive Kingston, Coroner's Recommendations
Sullivan, Craig Anthony
2013 TASCD 337
Don Jones 06-11-2013 Rupture of Left Frontal Cerebral Abscess, Death in custody, Ashley Detention Centre
Dalley, Paul Nicholas
2013 TASCD 437
Timothy Hill 06-11-2013 Asphyxia, Tractor Accident
Sullivan, Craig (PDF File, 522.0 KB)
2013 TASCD 336
Donald Jones 06-11-2013 Ashley Detention Centre, Rupture of a Left Frontal Cerebral Abscess. Coroner's Recommendations
Hayers, Aliesha Emily
2013 TASCD 349
Rod Chandler 18-10-2013 Acute Asthma, Ambulance Tasmania, Second-Hand Smoke
Glover, Patricia Edna
2013 TASCD 383
Rod Chandler 18-10-2013 Complications of Health Care, Medical Care, Surgical, Operation, Gastroenterology Device
Marikovszki, Bela
2013 TASCD 348
Christopher Webster 27-09-2013 Multiple Organ Failure, Burns, Hot Bathwater, Domestic Accident, Dementia
Foo, Janice Peow Chye
2013 TASCD 254
Stephen Carey 14-08-2013 Motor Vehicle Accident, Tourist, Head and Neck Injuries, Blunt force, Transport Injury, Vehicle Occupant, Minibus, Passenger, Transport
Mrs D de-identified
2013 TASCD 255
Stephen Carey 14-08-2013 Suicide, Depression, Motor Vehicle, Exhaust, Gas, Poisoning, Pressured Hose, Pipe
Daunt, Linda
2013 TASCD 253
Stephen Carey 14-08-2013 Findings, Coronial Division, Magistrates Court of Tasmania, vehicle accident, blunt force, transport, passenger car, driver, rider, single motor vehicle accident, head and chest injuries
Blain, Arthur Macfarlane
2013 TASCD 266
Christopher Webster 11-08-2013 Driver's Licence, Elderly, Interstate Licences, Crash, Transport, Registrar of Motor Vehicles, Coroner's Comments
Miss N de-identified (PDF File, 235.7 KB)
2013 TASCD 347
Rod Chandler 09-08-2013 Hanging, Suicide, Anorexia, Coroner's Recommendations
Mr B de-identified
2013 TASCD 274
Christopher Webster 05-08-2013 Extracting Morphine, Poppy Heads, Opium, Accidental Overdose, Thebaine Crop, Trespass Signs
Rainbow, Zac Cameron
2013 TASCD 213
Glenn Hay 19-07-2013 Asphyxia, Emmaljunga Pram, Coroners Comments
Whiley, Stanley Valentine
2013 TASCD 144
Rod Chandler 18-07-2013 Tamar Park, Inquest, Morphine, Ischaemic Heart Disease, Coroners Recommendations
Lindsey, Glen Michael
2013 TASCD 236
Melanie Bartlett 16-07-2013 Fall, Horse Racing, Harness, Industrial Accident
Thomas, Andrew Michael
2013 TASCD 221
Tim Hill 09-07-2013 Accident, Blunt Force, Vehicle Occupant, Transport Injury
Knowles, Francis Joan
2013 TASCD 272
Glenn Hay 04-07-2013 Fall, Subdural Haematoma, Dementia, Strathglen Nursing Home, Office of Aged Care Quality and Compliance, Hip Protectors
Mr H de-identified
2013 TASCD 163
Reg Marron 26-06-2013 Motorcycle Accident, Union Bridge Road, Paradise, "Duty to Report"
Perry, David
2013 TASCD 215
Stephen Carey 21-06-2013 Coroners Recommendations, Scuba Diving, Physical & Medical Condition
Wood, Beverley Joan
2013 TASCD 186
Christopher Webster 20-06-2013 Neck and Chest Injuries, Own Car, Older Persons
Joblin, Robert John
2013 TASCD 256
Don Jones 19-06-2013 Haemorrhagic Shock, Blunt Force, Transport, Ute, Car, Driver, Single Motor Vehicle Accident, Train, Railway, Australian Standards, Coroner's Recommendation
Church, James Peter
2013 TASCD 189
Christopher Webster 12-06-2013 Fall from Height, Older Persons
Donnelly, Trevor Darren
2013 TASCD 182
Michael Brett 31-05-2013 'Time Out', Drowning, Alcohol
McKinlay, James Stirling
2013 TASCD 142
Robert Pearce 23-05-2013 Fungsl Infection, Abdominal Surgery, Medical/Surgical Device, Hospitial, Surgical Pack, Complications of Health Care
Whiteley, Nicholas Martin
2013 TASCD 122
Robert Pearce 22-05-2013 Single Gunshot, Westbury,
Clarke, Benjamin David
2013 TASCD 212
Stephen Carey 20-05-2013 Fisherman, FV Kristie Lee, Unable to be Determined, Probable Drowning
Whayman, Timothy Glenn
2013 TASCD 211
Stephen Carey 20-05-2013 Professional Fisherman, Port Davey, Probable Drowning
Wells, Kerry John
2013 TASCD 171
Glenn Hay 14-05-2013 Conflagration, Vehicle Burnt, Motor Vehicle Crash,
Bakes, Walter Charles
2013 TASCD 173
Donald Jones 10-05-2013 Older Persons, Smoke Inhalation, House Fire, Asphyxia
Mr D de-identified
2013 TASCD 154
Tim Hill 10-05-2013 Drowning, Mental Illness
Mr W de-identified
2013 TASCD 144
Robert Pearce 08-05-2013 Cerebral Trauma, Depression, Rifle, Weapon, Firearm, Shot by Firearm
Mr T de-identified
2013 TASCD 157
Robert Pearce 30-04-2013 Firearm, Injury to Head, Shotgun, Firearm, Weapon, Mental Health
Mr K de-identified
2013 TASCD 153
Robert Pearce 30-04-2013 Gunshot, Wound of Head, Weapon, Firearm, Rifle, Shot by Firearm
Salter, Phillip John
2013 TASCD 143
Tim Hill 29-04-2013 Acute Myeloid Leukemia, Coroners Recommendations
Mr K de-identified
2013 TASCD 141
Tim Hill 12-04-2013 Motor Vehicle Accident, Blunt Force, Transport Injury Event, Vehicle Occupant, Motor Vehicle Crash,
Walker, Frances Victoria
2013 TASCD 172
Rod Chandler 31-03-2013 Cardiac Arrest, Acute on Chronic Renal Failure, Femur Fracture of Neck, Fall, Blunt Force
Mr W de-identified
2013 TASCD 150
Stephen Carey 28-03-2013 Mixed Drug Toxicity, Substance Abuse
Master B de-identified
2013 TASCD 101
Stephen Carey 25-03-2013 Bicycle, Blunt Traumatic Injuries, Motor Vehicle, Transport Injury, Braking System, Pedal cyclist
Ms M de-identified
2013 TASCD 100
Stephen Carey 21-03-2013 Drowning, Mixed Drug Intoxication, Amitriptyline, Tramadol, Benzodiazepine, Child and Family Services
Woolley, Damien Leigh
2013 TASCD 067
Christopher Webster 12-03-2013 Orchard, death, Hydraulic mat roller, 'extenday'
Jenkins, Nita Joan
2013 TASCD 155
Robert Pearce 06-03-2013 Findings, Coronial Division, Magistrates Court of Tasmania - Fatal Arthymic Cardiac Event, Ischemic Heart Disease, Pulmonary, Fatty Liver, Heart Failure, Anemia, Health Care
York, Joanne Jean
2013 TASCD 038
Rod Chandler 25-02-2013 Inquest, RHH, Coroners Recommendations
Barnes, Janice Zoey
2013 TASCD 78
Robert Pearce 19-02-2013 Findings, Coronial Division, Magistrates Court of Tasmania -Sepsis, Bacterial Infection, Ischemic Colitis
Osborne, Liam
2013 TASCD 095
Stephen Carey 15-02-2013 Infant Death, Death Unable to be Determined
Budd, Arthur John
2013 TASCD 57
Stephen Carey 13-02-2013 Lagoon Beach, Sloping Main, Drowning
Ms W de-identified
2013 TASCD 99
Stephen Carey 07-02-2013 Drugs, Toxicity, Mixed Prescription Drugs, Bipolar Affective Disorder
Robbins, Leanne
2013 TASCD 102
Glenn Hay 22-01-2013 Motor Vehicle Crash, Fatal Blunt Trauma
Webb, Zane David
2013 TASCD 21
Rod Chandler 21-01-2013 Death in Custody, SUDEP, Coroners Recommendation
Macrow, Randolph Brian
2013 TASCD 065
Robert Pearce 16-01-2013 Suicide, Carbon Monoxide Poisoning
Bartle, Terry Charles
2013 TASCD 58
Glenn Hay 14-01-2013 Coroner, Findings, Product related, Gas, Fridge, Carbon Monoxide Toxicity, Caravan
Williams, Matthew Keith
2013 TASCD 59
Glenn Hay 14-01-2013 Coroner, findings, Product related, Gas, Fridge, Carbon Monoxide Toxicity, Caravan
Williams, Rodney Alan
2013 TASCD 58
Glenn Hay 14-01-2013 Coroner, findings, Product related, Gas, Fridge, Carbon Monoxide Toxicity, Caravan, Coroner's Recommendations
Higlett, Geoffrey William
2013 TASCD 36
Olivia McTaggart 08-01-2013 Coronial, Recommendations, Tractor, Farming, Slasher, Bruny Island
Knott, Alicia Ellen & Shaw, Rebecca Jane
2013 TASCD 22
Christopher Webster 02-01-2013 Coroner, findings, Motor Vehicle Accident, Blunt Force, Transport Injury Event, Vehicle Occupant, Motor Vehicle Crash,