Coronial findings (decisions) 2014

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) 2014
Title & TASCD number Coroner Date Keyword Responses to Coronial Recommendations
Dougan, Kim Marlene
2014 TASCD 344
Simon Cooper 01-12-2014 Motorcycle Crash, Severe Trauma, Midland Highway, Coroner's Recommendations
Inches, Christine Anne
2014 TASCD 391
Rod Chandler 18-11-2014 Sepsis, Cervical Cancer, Timely Diagnosis
Fox, Barbara Constance
2014 TASCD 327
Rod Chandler 17-11-2014 RHH, Duodenal Ulcer, High Dependency Unit, Coroner's Recommendations
Mr K de-identified
2014 TASCD 393
Stephen Carey 17-11-2014 Combined Drug Intoxication, Methadone, Mirtazapine, Quetiapine, Benzodiazepine, Accidental Overdose, Chronic Back Pain, Mental Health
Alcohol Deaths de-identified A, B, C & D (MS Word Document, 221.0 KB)
2014 TASCD 347-350
Olivia McTaggart 11-11-2014 Alcohol Deaths, 4 Males, Coroner's Recommendations
Male A, Male B, Male C, Male D - Alcohol Deaths (PDF File, 185.2 KB)
2014 TASCD 347, 348, 349, 350
Olivia McTaggart 11-11-2014 Alcohol Deaths, Coroners Recommendations
Apted, Dale Robert
2014 TASCD 346
Stephen Carey 11-11-2014 Alcohol, Intoxication, Smoking
Ms I de-identified
2014 TASCD 325
Stephen Carey 06-11-2014 Mixed Drug Toxicity, Morphine, Methamphetamine, Olanzapine, Quetiapine, Citalopram, Metronidazole, Drug and Alcohol Services, Mental Health
Rhodes, Luke Dale
2014 TASCD 425
Olivia McTaggart 04-11-2014 Findings, Coronial Division, Magistrates Court of Tasmania, Drug Overdose, Coronial Recommendations
Xepapas, Stephen Sotorios
2014 TASCD 345
Simon Cooper 23-10-2014 Drowning, Roaring Beach
Tetley, Barry Lindsay.pdf (PDF File, 253.8 KB)
2014 TASCD 246
Rod Chandler 19-09-2014 Sepsis, ED, Coroner's Recommendations
Baby W de-identified
2014 TASCD 414
Olivia McTaggart 17-09-2014 Aspiration Pneumonia, NWPH, Infant Death
Scott, Ricky Charles
2014 TASCD 256
Stephen Carey 08-09-2014 Drug overdose, Poisoning, Mixed Drug Toxicity
Mr H de-identified
2014 TASCD 318
Simon Cooper 03-09-2014 Brain Haemorrhage, Fall, Ladder, Coroner's Recommendations
Rigby, Dayna Louise
2014 TASCD 264
Stephen Carey 25-08-2014 Mixed Drug Toxicity, Suppression of Evidence
Robertson, Kylie
2014 TASCD 252
Stephen Carey 22-08-2014 Drug overdose, Alcohol, Alcoholic Disease, Poisoning by Chemical
Mr G de-identified
2014 TASCD 317
Simon Cooper 22-08-2014 Blunt Force, Fall, Ladder, Australian Standards, Coroner's Recommendations
Percy, Noel Alan
2014 TASCD 236
Simon Cooper 19-08-2014 Death in Custody, Inquest, HMP, Asphyxia.
Grant, Steven John
2014 TASCD 221
Stephen Carey 11-08-2014 Overdose, Alcohol, Intoxication
Campbell, Donald Laird
2014 TASCD 260
Stephen Carey 06-08-2014 Drowning, Water, Weather, Natural Disasters, Open Sea, Ocean, Body of water, Coroner's Recommendations
Taylor, Craig Ewen
2014 TASCD 262
Stephen Carey 04-08-2014 Drowning, Body of water, Threat to Breathing, Canoe, Kayak, Row Boat, Watercraft
Heenan, Martin Francis
2014 TASCD 222
Stephen Carey 01-07-2014 Overdose,, Drug, Alcohol, Morphine, Benzodiazepine, Liver Disease
Richards, Ruth Mary
2014 TASCD 149
Stephen Carey 19-06-2014 Blunt Traumatic Injuries, Pedestrian hit by Car, Blunt Force, Transport Injury
Skinner, Timothy Mark
2014 TASCD 202
Olivia McTaggart 17-06-2014 Drowning, Threat to Breathing, Open Sea, Ocean, Water, Rocks, Surf
Hart, Connor Robert Lincoln
2014 TASCD 201
Olivia McTaggart 17-06-2014 Drowning, Threat to Breathing, Open Sea, Ocean, Water, Rocks, Surf
Rosen, Elyssa Suzanne
2014 TASCD 210
Stephen Carey 30-05-2014 Diving, Drowning, Tinderbox
Blaschke, Gordon Stefan
2014 TASCD 14
Stephen Carey 30-05-2014 Overdose, Hypoxic Brain Injury
Wagg, Christopher.pdf (PDF File, 1.3 MB)
2014 TASCD 199
Olivia McTaggart 23-05-2014 Inquest Findings, Workplace, Factory Plant, Zinc Works, Brain Damage, Mechanical Asphyxia, Cherry Picker, Coroner's Recommendations
Clarke, Geoffrey Arthur
2014 TASCD 251
Simon Cooper 17-05-2014 Drowning, Threat to Breathing, Open Sea, Ocean, Fishing Boat, Trawler, Watercraft
Ms F de-identified
2014 TASCD 124
Stephen Carey 23-04-2022 Mixed Drug Toxicity, Methadone, Amitriptyline, Diazepam
McGavin, Richard Kenneth
2014 TASCD 66
Catherine Rheinberger 28-03-2014 Workplace Fatality, Roadworks, Trucks, Blunt Force, Pedestrian, Heavy Truck, Crushing, Fulton Hogan, Inquest
White, Yvonne Lorraine
2014 TASCD 21
Simon Cooper 14-02-2014 Motor Vehicle Fatality, Blunt Injuries, Vehicle Occupant, Passenger Car,
Baby R de-identified
2014 TASCD 43
Reg Marron 10-02-2014 Motor Vehicle Fatality, Blunt Force, Passenger, Weather, Rain, Infant.
Baby R de-identified
2014 TASCD 43
Reg Marron 10-02-2014 Recommendations, Tasmania, Co-Sleeping, Infant, Baby, Child Protection, DHHS, Department of Health & Human Services, SIDS, CPS, Alcohol, Depression, Family Violence, Suffocation, Safe Sleeping Guidelines,
Marriott, Brendon Roy
2014 TASCD 25
Rod Chandler 22-01-2014 Assault, Gun Shot to Head/Chest, Firearm, Rifle, Weapon, Drugs, Noel Alan Percy
Chappell, Robert Adrian
2014 TASCD 4
Glenn Hay 17-01-2014 Trial of Ms Neill-Fraser, Murder, Statutory Requirements, Four Winds Vessel