Coronial findings (decisions) 2015 - 2018
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.
Title & TASCD number | Coroner | Date | Keyword | Responses to Coronial Recommendations |
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Slater, Timothy Guy (PDF File, 261.5 KB) 2015 TASCD 349 |
Simon Cooper | 09-07-2016 | Undetermined, missing person, Fern Tree, Mental Illness & Health, Drugs & Alcohol, bushwalker | |
Youth Suicide (PDF File, 819.6 KB) 2015 TASCD 298,299,300,301,302,303 |
01-01-2016 | |||
Field, Jayden Craig (PDF File, 555.6 KB) 2015 TASCD 373 |
Olivia McTaggart | 23-12-2015 | Misadventure, Drugs & Alcohol, Youth, taxi, fare evasion, head injury, CCTV, taxi camera, police investigation | Response from StateGrowth 20 February 2020 Since the Coroner made her recommendations, the Department of State Growth has undertaken work to improve the safety of taxi users, including taxi drivers. The Department recognises that taxis are an important mode of transportation and Tasmanians should be able to be confident that taxi services are reputable, safe, reliable and convenient. Concurrently there has been significant change to the Tasmanian taxi industry which led to the Department commencing a review of the regulatory framework for the taxi and hire vehicle industries in 2016. The review recognises that taxi industries across Australia and overseas are undergoing rapid change led by new service models. The review is to ensure the sector and the community are well positioned to meet the challenges and seize the opportunities arising from new business models and emerging technologies relating to on-demand passenger transport. A proposed framework for the industries is currently subject to external consultation with the intention that a new package of legislative reform will be considered by Parliament in the first half of this year. The regulations which support the industries were rolled over in 2018, pending an outcome of the review. These regulations have a sunset clause of three years (September 2021), with the view that a holistic review of the regulations, including those provisions relating to security cameras in taxis, would be done in line with the new framework. In respect of the Coroner's recommendation relating to the review of the operation of taxi security systems, there has been significant change which has reduced the risk profile associated with non-compliant taxi-security camera systems.
Tasmania remains a very small jurisdiction with minimal demand for the installation of taxi security camera systems. From a practical and cost perspective it is unrealistic for Tasmanian to independently develop its own minimum specifications before a taxi camera system can be used in Tasmania. The larger jurisdictions are in the preferred position to develop the minimum functionality. The flow-on effect is that as new taxi camera systems enter Tasmania, the functionality will continue to improve. With regard to the recommendation to requirement prepayment of fares for late night services, there has been significant discussion with the taxi industry on this subject. The industry acknowledges that there is existing regulation which allows a driver to require a passenger to prepay the fare at any time of day. However, industry representatives advise that drivers will not utilise this mechanism. It is difficult to understand how a similar regulation limited to only certain hours of operation could give drivers confidence to require prepayment. With the emergence of ride sourcing using apps, a significant portion of on-demand travel is now effectively prepaid as payment is managed electronically through the passenger account at the time of booking. In responding to this new competitive force in the market, some taxi dispatch networks have opted to create similar apps for booking and payment. Accordingly, the sector of the market which is likely to operate without electronic payment is the rank market. However, in these instances, drivers continue to have the capacity to require the passenger to prepay before commencing the journey and regulations permit a driver to refuse a fare at the rank should they have concern for their safety or the safe operation of the taxi. Updated response from StateGrowth 7 October 2022 Legislative reforms proposed affecting on-demand transport to which I referred to in my previous letter were passed by the parliament in November 2020. Implementation is currently progressing. Two tranches of the new legislation have commenced. A third tranche is expected to commence in coming months. Given the substantial changes to regulations that are required to align with the new provisions, the review of legislation intended to occur by September 2021 was deferred until September 2023. That review has recently commenced. The Transport Commission is currently finalising a review of specifications for taxi security camera systems with the aim of modernisng the requirements and aligning substantially with other Australian jurisdictions. This is intended to result in new taxi security cameras having built in self-testing capability amount other features. The key to implementing new specifications will be in establishing suitable transition arrangements including an appropriate period of time in which any older cameras must be replaced. This will require careful consultation with industry given the current challenges in the operating environment and viability concerns. Notwithstanding that this work is still underway, I would note that all cameras recently approved by the Transport Commission for the Tasmanian market are models that reflect the higher specifications in use in other jurisdictions. |
McManus, Pamela (PDF File, 208.1 KB) 2015 TASCD 427 |
Rod Chandler | 27-11-2015 | Older Persons, Physical Health, Royal Hobart Hospital, John Street Medical Centre, Adverse Medical Effects, colon cancer, bowel, large volume aspiration, right hemicolectomy, misdiagnosis, anaemia, inadequate care | |
Tetley, Andrew Jason (PDF File, 166.2 KB) 2015 TASCD 371 |
Simon Cooper | 24-11-2015 | Water Related, Drowning, Marine Fatality, missing person, disappearance, fisherman, fishing, Falmouth, PFD, lifejacket, dinghy, fall, boarding, dark | |
Henri, Paul Lucien (PDF File, 237.7 KB) 2015 TASCD 367 |
Rod Chandler | 12-11-2015 | Older Persons, Aged Care, Physical Health, Royal Hobart Hospital, Huon Eldercare Nursing Home, Coroners Recommendations | Updated response provided by THS South 14 October 2022 DHHS and hospitals have reviewed. High levels of medical suspicion of a drug cause for situation will result in samples being kept. |
Holmes, Michael John (PDF File, 211.8 KB) 2015 TASCD 333 |
Simon Cooper | 11-11-2015 | Undetermined, Drugs & Alcohol, Mental Illness & Health, missing person, suicide attempts, unemployment, isolation | |
CK (PDF File, 176.9 KB) 2015 TASCD 420 |
Simon Cooper | 02-11-2015 | Child & Infant Death, Transport & Traffic Related, Motor Vehicle Crash, bystander, four-wheel drive, Trial Harbour | |
Mr S (PDF File, 261.4 KB) 2015 TASCD 242 |
Simon Cooper | 30-10-2015 | Intentional Self-Harm, Suicide, Transport & Traffic Related, Motor Vehicle Crash, driver, single occupant, tree, Powranna | |
Mr B (PDF File, 171.1 KB) 2015 TASCD 327 |
Simon Cooper | 26-10-2015 | Work Related, crush, mechanic, trolley jack, jack stands | |
Hay, Katrina Maree (PDF File, 182.4 KB) 2015 TASCD 319 |
Stephen Carey | 09-10-2015 | Misadventure, Drugs & Alcohol, intravenous drug use, crushed tablet, heart failure, pregnant, fetal death, pulmonary hypertension, cardiac arrest, microcrystalline cellulose, granulomas, granulomatous inflammatory reaction | |
Mundy, Kaylene Louise (PDF File, 182.9 KB) 2015 TASCD 306 |
Stephen Carey | 08-10-2015 | Drugs & Alcohol, Misadventure, Alprazolam, Xanax, crushed tablets, intravenous drug use, heart failure, Tasmanian Alcohol & Drug Service | |
Kokholm, Dan (PDF File, 183.1 KB) 2015 TASCD 324 |
Simon Cooper | 02-10-2015 | Leisure Activity, Geographic, Mount Ossa, Cradle Mountain, Lake St Clair, national park, bushwalking, mountaineering, climbing, missing person, disappearance, soldier, army, Vietnam, logbook, hut | |
Mattathyahu, Judah (PDF File, 415.7 KB) 2015 TASCD 286 |
Simon Cooper | 02-10-2015 | Homicide & Assault, missing person, affair, | |
Ms G de-identified (PDF File, 165.4 KB) 2015 TASCD 423 |
Stephen Carey | 02-10-2015 | Intentional Self-Harm, Drugs & Alcohol, Mental Illness & Health, Suicide, bereavement, financial pressure, unemployment, outpatient support, addiction | |
Muller Shar Marie (PDF File, 168.0 KB) 2015 TASCD 304 |
Olivia McTaggart | 01-10-2015 | Intentional Self-Harm, Suicide, missing person, Tasman Bridge, Mental Illness & Health | |
Adamson, Darryl (PDF File, 166.9 KB) 2015 TASCD 289 |
Stephen Carey | 01-10-2015 | Transport & Traffic Related, tractor, slasher, seizures, heart disease, orchard, cut-off switch, traumatic amputation | |
J (PDF File, 173.6 KB) 2015 TASCD 259 |
Simon Cooper | 01-10-2015 | Child & Infant Death, drowning, solar dome pool cover, fencing | |
Mr R (PDF File, 356.3 KB) 2015 TASCD 422 |
Stephen Carey | 30-09-2015 | Drugs & Alcohol, doxepin, mianserin, fluoxetine, combined drug intoxication, self-medication, depression, hypertensive heart disease | |
Mrs W (PDF File, 163.2 KB) 2015 TASCD 318/15 |
Simon Cooper | 25-09-2015 | Weather Related, Domestic Incident, falling tree, wind | |
Pearn Natalia (PDF File, 254.9 KB) 2015 TASCD 264 |
Olivia McTaggart | 11-09-2015 | Motor Vehicle Crash, Transport & Traffic Related, negligent driving, safety barrier, Midland Highway, Tim Ellis | |
Weir, Mary (PDF File, 165.3 KB) 2015 TASCD 368 |
Simon Cooper | 07-09-2015 | Adverse Medical Effects, Falls, Older Persons, Calvary Hospital, head injury, bathroom, walking frame, subdural haematoma, high risk falls prevention plan, chronic heart failure, cellulitis, swollen legs, unwitnessed fall, seizures, CT scan, aspirin, clopidogrel, Clexane, anticoagulant, presumed stroke, error, unsound medical practice, misdiagnosis | |
Leemhuis, Leah Maree (PDF File, 177.5 KB) 2015 TASCD 243 |
Stephen Carey | 01-08-2015 | Motor Vehicle Crash, Transport & Traffic Related, Drugs & Alcohol, prescription medication, Diazepam, Sertralin, cannabis, fatigue, fell asleep, Bass Highway, Carrick, Astra sedan, seatbelt defect, airbag defect | Response from Motors (Names redacted) 23 August 2019
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Hovington, Byron Russell (PDF File, 167.9 KB) 2015 TASCD 322 |
Stephen Carey | 29-07-2015 | Drugs & Alcohol, Misadventure, Drug Overdose, Royal Hobart Hospital, methylamphetamine toxicity, hypoxic encephalopathy, cardiac arrest, intravenous drug use, jaw pain | |
Drew, Malcolm (PDF File, 165.3 KB) 2015 TASCD 369 |
Stephen Carey | 29-07-2015 | Transport & Traffic Related, Motor Vehicle Crash, Driver, single vehicle, tree, tourist, Lyell Highway, head injuries, fatigue, fell asleep, tired, wet | |
Mr J (PDF File, 181.0 KB) 2015 TASCD 323 |
Stephen Carey | 29-07-2015 | Intentional Self-Harm, Older Persons, Physical Health, Mental Illness & Health, Suicide, independence, disability pension, heart disease, refusal of treatment, self-diagnosis, bowel cancer, nursing home, firearms licence, unregistered firearm | |
Rivelli, Andrea (PDF File, 214.1 KB) 2015 TASCD 372 |
Stephen Carey | 29-07-2015 | Intentional Self-Harm, Mental Illness & Health, Suicide, tourist, traveller, meditation | |
Wilton, Meagan & Eyles, Benjamin (PDF File, 187.4 KB) 2015 TASCD 436, 437 |
Stephen Carey | 29-07-2015 | Homicide & Assault, Intentional Self-Harm, domestic violence, breakup, access to child, firearm seizure, unsafe storage of weapons, police intervention | |
Dortkamp, John Andrew (PDF File, 220.7 KB) 2015 TASCD 237 |
Simon Cooper | 17-07-2015 | Death in Care, Millbrook Rise Centre, schizophrenia, emphysema, hypertrophy of the heart, treatment order, Physical Health, Mental Illness & Health | |
Pedersen, Jonas Havskov (PDF File, 235.0 KB) 2015 TASCD 239 |
Olivia McTaggart | 03-07-2015 | Misadventure, Drugs & Alcohol, poppy tea, morphine intoxication, poppy fields, opium poppies | |
Smith, Kimberley Dale (PDF File, 172.6 KB) 2015 TASCD 217 |
Simon Cooper | 01-07-2015 | Water Related, Drowning, Marine Fatality, dinghy, missing person, hypothermia, Chasm Creek, Heybridge, Blythe River | |
Mr C (PDF File, 163.8 KB) 2015 TASCD 187 |
Simon Cooper | 01-07-2015 | Domestic Incident, crushed, trolley jack, vehicle, ramp, chocking | Response received from Australian Competition & Consumer Commission (ACCC) 15 August 2019 The Australian Competition and Consumer Commission (ACCC) promotes competition and fair trading in markets to benefit consumers, businesses and the Australian community. Our primary responsibility is to ensure that individuals and businesses comply with the Competition and Consumer Act 2010 (the CCA) which includes the Australian Consumer Law (the ACL). The focus of the ACCC’s product safety role is on the safe supply and use of consumer products – which are those products used or likely to be used for personal, domestic or household use. The ACCC monitors and investigates complaints about consumer products connected with accidents and injuries, administers voluntary recalls and mandatory injury reports submitted by suppliers and undertakes surveillance and monitoring to ensure compliance of regulated consumer products that are subject to safety standards, information standards and bans. Trolley jacks, vehicle jacks, vehicle support stands and portable ramps are all subject to mandatory safety standards under the ACL. These standards were reviewed in 2017 to improve requirements for warning labelling and weight bearing performance. The ACCC regularly performs market surveillance and testing of these products to ensure their compliance with mandatory safety standards, administers voluntary recalls to retrieve unsafe or non-compliant products from users, promotes the voluntary recalls via social media and the Product Safety Australia website and communicates with consumers about safe ways to undertake vehicle maintenance. In June 2019 the ACCC developed a media campaign about the safety risks of DIY vehicle repairs. The campaign included release of two videos to renew and promote safety messaging targeting people attempting DIY tasks on motor vehicles, a media release, social media campaign on Twitter and Facebook, digital advertising via YouTube, and a Product Safety Matters newsletter. Evaluation in July 2019 indicated that media coverage alone had a potential reach of 7.35 million people in the period 20-26 June |
Stephenson, Jason Scott (PDF File, 292.0 KB) 2015 TASCD 225 |
Stephen Carey | 30-06-2015 | Leisure Activity, Water Related, Physical Health, Drowning, Marine Fatality, scuba diving, diving equipment, age, fitness, obesity, breathlessness, Eddystone Point, cardiac | Response received from Marine and Safety Tasmania (MAST) 16 July 2019
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Mr B (PDF File, 235.2 KB) 2015 TASCD 186 |
Stephen Carey | 19-06-2015 | Water Related, Drowning, Marine Fatality, Older Persons, Derwent River, fishing, defective PFD, cardiac event, cold water immersion | Response provided by Marine and Safety Tasmania (MAST)
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Sansom, Ann Margaret (PDF File, 224.0 KB) 2015 TASCD 224 |
Rod Chandler | 16-06-2015 | Adverse Medical Effects, Physical Health, Royal Hobart Hospital, subarachnoid haemorrhage, perforation, aneurysm, endovascular coiling, complication, diabetes, cirrhosis | |
Clarke, Joshua (PDF File, 179.0 KB) 2015 TASCD 106 |
Olivia McTaggart | 16-06-2015 | Motor Vehicle Crash, Transport & Traffic Related, Drugs & Alcohol, York Plains Road, Lemont, seat belt, unroadworthy | |
Mr A De-identified 2015 TASCD 173 |
Simon Cooper | 05-06-2015 | Response received from PSB updated and received 21 December 2022
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Mr A (PDF File, 33.3 KB) 2015 TASCD 173 |
Simon Cooper | 05-06-2015 | Misadventure, Drugs & Alcohol, Ritalin, methylphenidate, microcrystalline cellulose, intravenous injection, crushing pills, psychostimulant, foreign body granulomas of the lung, heart failure | |
Pearce, Jasmine Rose (PDF File, 264.6 KB) 2015 TASCD 75 |
Olivia McTaggart | 27-05-2015 | Child & Infant Death, Drugs & Alcohol, safe sleeping, bed sharing, suffocation, CPS, family violence, cumulative harm, Gateway Services, police | |
Jones, Thomas Elvet 2015 TASCD 058 |
Simon Cooper | 30-04-2015 | Transport & Traffic Related, Water Related, Fall, Location, Motor Vehicle Crash, Tasman Bridge collapse | |
O'Day, Dennis James 2015 TASCD 109 |
Simon Cooper | 30-04-2015 | Suicide, Intentional Self-Harm, Youth, Tasman Bridge, missing person, relationship breakdown | |
McCallum, William 2015 TASCD 085 |
01-01-2016 | death, drowning, dover, hypothermia, kayak, immersion | ||
Aherne, Benjamin Mark & Clements, John William (PDF File, 108.4 KB) 2015 TASCD 032, 033 |
Michael Brett | 22-04-2015 | Homicide & Assault, Intentional Self-Harm, Suicide, firearm, family violence, sexual dysfunction | |
Rogers, Maureen Ann (PDF File, 241.7 KB) 2015 TASCD 190 |
Rod Chandler | 22-04-2015 | Older Persons, Physical Health, Launceston General Hospital, misdiagnosis, gastritis, aortic dissection, cardiac tamponade, CT scan | No response provided |
Leary, Leslie John (PDF File, 183.1 KB) 2015 TASCD 083 |
Stephen Carey | 15-04-2015 | Drowning, Water Related, Weather Related, rock lobster, dinghy, PFD, certificate of competency | Response received from Marine and Safety Tasmania (MAST) 16 July 2019
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Saunders, Craig Steven 2015 TASCD 54 |
Stephen Carey | 15-04-2015 | Bicycle Collision, Motor Vehicle, Negligent Driving | |
Mr T 2015 TASCD 090 |
Simon Cooper | 06-04-2015 | Domestic Incident, Domestic Accident, mechanic, car, motor vehicle, trolley jack, support stands, jack stands, car stands | Response received from Australian Competition & Consumer Commission (ACCC) The Australian Competition and Consumer Commission (ACCC) promotes competition and fair trading in markets to benefit consumers, businesses and the Australian community. Our primary responsibility is to ensure that individuals and businesses comply with the Competition and Consumer Act 2010 (the CCA) which includes the Australian Consumer Law (the ACL). The focus of the ACCC’s product safety role is on the safe supply and use of consumer products – which are those products used or likely to be used for personal, domestic or household use. The ACCC monitors and investigates complaints about consumer products connected with accidents and injuries, administers voluntary recalls and mandatory injury reports submitted by suppliers and undertakes surveillance and monitoring to ensure compliance of regulated consumer products that are subject to safety standards, information standards and bans. Trolley jacks, vehicle jacks, vehicle support stands and portable ramps are all subject to mandatory safety standards under the ACL. These standards were reviewed in 2017 to improve requirements for warning labelling and weight bearing performance. The ACCC regularly performs market surveillance and testing of these products to ensure their compliance with mandatory safety standards, administers voluntary recalls to retrieve unsafe or non-compliant products from users, promotes the voluntary recalls via social media and the Product Safety Australia website and communicates with consumers about safe ways to undertake vehicle maintenance. In June 2019 the ACCC developed a media campaign about the safety risks of DIY vehicle repairs. The campaign included release of two videos to renew and promote safety messaging targeting people attempting DIY tasks on motor vehicles, a media release, social media campaign on Twitter and Facebook, digital advertising via YouTube, and a Product Safety Matters newsletter. Evaluation in July 2019 indicated that media coverage alone had a potential reach of 7.35 million people in the period 20-26 June |
Ms D (PDF File, 179.0 KB) 2015 TASCD 211 |
Stephen Carey | 06-04-2015 | Drugs & Alcohol, mixed drug toxicity, amitriptyline, chlorpheniramine, diazepam, codeine, biventricular hypertrophy, antihistamines, opiates | |
McCauley, Terence Bernard (PDF File, 173.0 KB) 2015 TASCD 321 |
Olivia McTaggart | 03-04-2015 | Transport & Traffic Related, Motor Vehicle Crash, Motorcycle, negligent driving causing death, overtaking, following distance, lookout, head-on collision, Arthur Highway, Copping | |
Lane, Andrew Brian 2015 TASCD 034 |
Stephen Carey | 25-03-2015 | Water Related, Weather Related, Leisure Activity, Geographic, Drowning, safety, fishing, dinghy, boat size, forecast, EPRIB, PFD, cold water immersion, Tooms Lake, Oatlands | Response from Marine and Safety Tasmania (MAST) 16 July 2019
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Mr D 2015 TASCD 069 |
01-01-2016 | suicide, exhaust fumes, Tasmania death | ||
Balmer, Rosemary Joy (PDF File, 166.2 KB) 2015 TASCD 181 |
Stephen Carey | 20-03-2015 | Drugs & Alcohol, Misadventure, mixed prescription drug toxicity, oxycodone, amitriptyline, diazepam, diphenhydramine, paracetamol, chronic pain | |
Sterling, William John (PDF File, 227.3 KB) 2015 TASCD 182 |
Stephen Carey | 20-03-2015 | Physical Health, Natural Cause Death, lung disease, intravenous drug use, hypertension, cardiovascular disease, hepatitis | |
Davis, Ross James (PDF File, 209.7 KB) 2015 TASCD 178 |
Stephen Carey | 20-03-2015 | Drugs & Alcohol, Misadventure, intravenous drug use, injecting opiates, crushed pills, opiate analgesia, chronic pain, pulmonary disease, respiratory disease, morphine | |
Thompson, Geoffrey Ross Sydney (PDF File, 168.5 KB) 2015 TASCD 180 |
Stephen Carey | 18-03-2015 | Drugs & Alcohol, prescription, promethazine, citalopram, ethanol, mixed drug toxicity | |
Norris Freda Kate (PDF File, 167.0 KB) 2015 TASCD 223 |
Stephen Carey | 18-03-2015 | Undetermined, Missing Person, | |
Bronson, Connan Taiaroa (PDF File, 170.2 KB) 2015 TASCD 179 |
Stephen Carey | 18-03-2015 | Intentional Self-harm, Mental Illness & Health, Drugs & Alcohol, Suicide, cliff, itinerate | |
Clarke, Donald John (MS Word Document, 235.0 KB) 2015 TASCD 003 |
Rod Chandler | 10-03-2015 | Physical Health, Adverse Medical Effects, Calvary St Luke's Hospital, Launceston General Hospital, cervical spine surgery, aspiration pneumonia, radiology, obesity, oxycodone, midazolam, tracheomalacia, endone | No response received |
Mr J (PDF File, 221.3 KB) 2015 TASCD 077 |
Olivia McTaggart | 06-03-2015 | Adverse Medical Effects, prostatectomy, deep vein thrombosis, multiple pulmonary thromboemboli, prostate carcinoma, prostate cancer, TED stockings, sequential compression device, Calvary Hospital, blood clots, VTE, DVT, clexane, anticoagulation | |
Swift, John McGregor 2015 TASCD 035 |
Olivia McTaggart | 02-03-2015 | Transport & Traffic Related, Older Persons, Physical Health, Motor Vehicle Crash, driver, sole occupant, heart disease, cardiac event | |
Lucas, Troy Dale (PDF File, 193.2 KB) 2015 TASCD 120 |
Olivia McTaggart | 20-02-2015 | Transport & Traffic Related, Motor Vehicle Crash, Motorcycle, Brooke Street, East Devonport, negligent driving causing death, sun, inattention, head-on collision | |
Payton, Robert John (PDF File, 179.5 KB) 2015 TASCD 76 |
Olivia McTaggart | 09-02-2015 | Transport & Traffic Related, Motor Vehicle Crash, Bass Highway, Wiltshire, motor scooter, head-on, negligent driving, overtaking, proper lookout | |
Mr G 2015 TASCD 031 |
Simon Cooper | 06-02-2015 | Mental Illness & Health, Death in Care, Royal Hobart Hospital, treatment order, schizophrenia, chest pain, cardiovascular disease, cardiac arrest | |
Rock, Scott 2015 TASCD 002 |
Simon Cooper | 03-02-2015 | Homicide & Assault, Drugs & Alcohol, head injuries | |
Mr S (PDF File, 169.6 KB) 2015 TASCD 216 |
Stephen Carey | 27-01-2015 | Mental Illness & Health, Work Related, Drug Overdose, tramadol, opiate pain relief, chronic pain, Mt Lyall Mine, colleagues, anti-depressant, workplace deaths | |
Carr, Dennis Robert 2015 TASCD 001 |
Simon Cooper | 23-01-2015 | Law Enforcement, Physical Health, Natural Cause Death, Death in Custody, Risdon Prison, Royal Hobart Hospital, Palliative Care Plan, cirrhosis of the liver, hepato-renal syndrome |