Coronial findings (decisions) 2022
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 |
---|---|---|---|
Duggan, Philip Craig (PDF File, 342.2 KB) 2022 TASCD 285 |
Simon Cooper | 15-06-2022 | Self-inflicted gunshot wound to the head, Death in Custody, Family Violence, Firearm. |
Geertsema, Darlene Avis (PDF File, 491.0 KB) 2022 TASCD 280 |
Simon Cooper | 10-06-2022 | Long Term Missing Person |
Borishkewich, Katherine.pdf (PDF File, 139.7 KB) 2022 TASCD 255 |
Robert Webster | 27-05-2022 | Traumatic Closed Head Injury, Unwitnessed Falls, |
LP - deidentified.pdf (PDF File, 92.0 KB) 2022 TASCD 245 |
Simon Cooper | 26-05-2022 | Bicycle Accident, Worksafe Tasmania, Garbage Truck |
QG - Deidentified.pdf (PDF File, 92.7 KB) 2022 TASCD 241 |
Olivia McTaggart | 24-05-2022 | Drug use, methamphetamine, cardiac damage |
David, Nathaniel and Cheryl.pdf (PDF File, 95.4 KB) 2022 TASCD 236 |
Simon Cooper | 23-05-2022 | Two Vehicle Crash, Bass Highway near Exton, |
Bogdanova, Rimma.pdf (PDF File, 92.6 KB) 2022 TASCD 237 |
Simon Cooper | 23-05-2022 | Pedestrian, Cause death by Negligent Driving |
Dillon, Kelly John-RBW signed 19.05.22.pdf (PDF File, 654.6 KB) 2022 TASCD 238 |
Robert Webster | 19-05-2022 | Pulmonary Thromboembolus, NOSS, Natural Causes |
Masters, Shane Anthony (PDF File, 551.2 KB) 2022 TASCD 229 |
Olivia McTaggart | 18-05-2022 | SUDEP, Sudden Unexpected Death in Epilepsy, Aprin Transport Pty Ltd, Workplace Health and Safety Act 1995, Workplace Health and Safety Regulations 1998, WorkSafe Tasmania, reportable death, workplace injury. |
Lavoipierre, Andre Marc (PDF File, 298.6 KB) 2022 TASCD 216 |
Simon Cooper | 29-04-2022 | Exsanguination, hypovolemic shock complicating acute blood loss, Richmond Fellowship, Mental Health Act 2013, person held in care. |
Mawer, Stephen Charles (PDF File, 422.4 KB) 2022 TASCD 217 |
Olivia McTaggart | 29-04-2022 | Self-inflicted burns, person held in custody, Crisis Assessment and Treatment Team, cordon. |
Gardiner, Timmothy Matthew (PDF File, 216.5 KB) 2022 TASCD 92 |
Robert Webster | 22-04-2022 | Gunshot, chest wound, accidental discharge, home-made firearm |
Beesley, Nathaniel Owen (PDF File, 708.1 KB) 2022 TASCD 208 |
Simon Cooper | 21-04-2022 | Savage River Mine, West Coast, Grange Resources Tasmania, SRG Global Limited, crush injuries, IRATA, WorkSafe Tasmania, manual scaling |
PL (PDF File, 253.4 KB) 2022 TASCD 147 |
Robert Webster | 14-04-2022 | Prosser River, head injury, ski biscuit, kill switch, Tahwalhi, Marine and Safety Tasmania (MAST), Fatal Accidents Act 1934, Hanlon v Hanlon [2006] TASSC 1, Marine and Safety (Motorboats and Licences) By-laws 2013, Marine and Safety Authority Act 1997, Harbour Master Marine Board Hobart, 5 knots, minimum age, towing poll.. |
Callinan, Damian Francis (PDF File, 167.5 KB) 2022 TASCD 199 |
Olivia McTaggart | 13-04-2022 | Guardianship and Administration Act, Mental Health Act, frontal glioblastoma multiforme, person held in care |
Kirk, Rodney (PDF File, 160.3 KB) 2022 TASCD 198 |
Olivia McTaggart | 13-04-2022 | Guardianship Administration Board, Mental health Act, dementia, person held in care |
Sykes, Andrew Philip.pdf (PDF File, 95.8 KB) 2022 TASCD 192 |
Olivia McTaggart | 08-04-2022 | Seatbelt, Motor Vehicle Accident, Memana |
Reardon, Michael Wayne.pdf (PDF File, 103.2 KB) 2022 TASCD 192 |
Simon Cooper | 08-04-2022 | Diabetes Mellitus, Schizophrenia, Care Arrangements |
Williams, John Michael.pdf (PDF File, 104.3 KB) 2022 TASCD 180 |
Robert Webster | 30-03-2022 | Death cannot be determined, Shorewell Park Burnie |
Nguyen, Hanh Thi My and Dang, David Quan Hien SJC.pdf (PDF File, 98.2 KB) 2022 TASCD 168 |
Simon Cooper | 25-03-2022 | Motor Vehicle Collision, Midlands Highway, Methylamphetamine |
Stephens, Vicki Lavinia.pdf (PDF File, 85.6 KB) 2022 TASCD 161 |
Robert Webster | 23-03-2022 | Klebsiella Pneumonia Sepsis, Fall, Objection to Post-Mortem, RHH |
Mackey, Lois Winifred.pdf (PDF File, 122.0 KB) 2022 TASCD 153 |
Robert Webster | 21-03-2022 | Decompensated Heart Failure, Elderly Persons, THS, |
Rouse, Rex (PDF File, 496.9 KB) 2022TASCD 152 |
Robert Webster | 21-03-2022 | Coronial, Findings, Deep Vein Thrombosis, Pulmonary Embolism |
Collis, Mary.pdf (PDF File, 278.9 KB) 2022 TASCD 150 |
Olivia McTaggart | 18-03-2022 | Older Persons, Mental Health Act, Treatment Order |
Shields, Sandra Mary.pdf (PDF File, 288.9 KB) 2022 TASCD 151 |
Olivia McTaggart | 18-03-2022 | Older Persons, Mental Health Act, Treatment Order |
Campbell, Nancy.pdf (PDF File, 293.3 KB) 2022 TASCD 149 |
Olivia McTaggart | 18-03-2022 | Older Person, Mental Health Act, Treatment Order |
Stokie, Stephen Wayne.pdf (PDF File, 92.7 KB) 2022 TASCD 146 |
Simon Cooper | 14-03-2022 | Motorcycle accident, West Tamar Highway |
Cooper, Joanne Dulcie.pdf (PDF File, 102.2 KB) 2022 TASCD 136 |
Simon Cooper | 10-03-2022 | Tea Tree Road, Motor Vehicle Accident |
AZ, CY and DX de-identified.pdf (PDF File, 122.5 KB) 2022 TASCD 139 |
Simon Cooper | 10-03-2022 | Drugs and Alcohol, Transport and Traffic Related, Ross |
Salter, Lyndsay Kenneth.pdf (PDF File, 121.8 KB) 2022 TASCD 235 |
Robert Webster | 09-03-2022 | Motor Vehicle Crash, Pulmonary Fat Embolism, Ralton & Mersey Main Road Junction |
FL de-identified.pdf (PDF File, 113.9 KB) 2022 TASCD 133 |
Simon Cooper | 07-03-2022 | Hypoxic Brain Damage, Gastroschisis, Short Bowel Syndrome, |
Gaiswinkler, Anthony Adolf James.pdf (PDF File, 98.2 KB) 2022 TASCD 131 |
Simon Cooper | 03-03-2022 | Drowning, Derwent River |
Gray, Alan Maurice.pdf (PDF File, 99.2 KB) 2022 TASCD 120 |
Olivia McTaggart | 01-03-2022 | Traumatic closed head injury, Older Persons, Fall, Ambulance Tasmania |
Hassanloo, Saeed (PDF File, 546.5 KB) 2022 TASCD 105 |
Olivia McTaggart | 28-02-2022 | Suicide, Tasman Bridge, drowning, asylum seeker |
Homan, Geoffrey Brian.pdf (PDF File, 109.3 KB) 2022 TASCD 101 |
Olivia McTaggart | 24-02-2022 | Older Persons, Community Housing Limited, Recluse |
Scott, Paul Stephen.pdf (PDF File, 193.9 KB) 2022 TASCD 98 |
Robert Webster | 24-02-2022 | Intentional Self-Harm, Mental Illness and Health, Spencer Unit |
Attwood, Maurice.pdf (PDF File, 111.7 KB) 2022 TASCD 96 |
Robert Webster | 23-02-2022 | Hospital acquired pneumonia, Fall, Calvary Hospital, Older Person |
BR - deidentified.pdf (PDF File, 111.5 KB) 2022 TASCD 100 |
Olivia McTaggart | 23-02-2022 | SUDI, Risks of Co-Sleeping, Infant Death |
BL de-identified.pdf (PDF File, 100.9 KB) 2022 TASCD 95 |
Olivia McTaggart | 22-02-2022 | Mental Health Plan, Extensive Burns |
XY - deidentified.pdf (PDF File, 123.6 KB) 2022 TASCD 91 |
Robert Webster | 18-02-2022 | Morphine, Older Persons, |
Berechree, Shelbi and Cooper-Rozynski, Isaack.pdf (PDF File, 129.6 KB) 2022 TASCD 82 |
Olivia McTaggart | 10-02-2022 | Motor Vehicle Accident, Arthur Highway, Double Fatality |
Streets, Steven (PDF File, 427.8 KB) 2022 TASCD 81 |
Simon Cooper | 08-02-2022 | Coroner, motorcycle, rider, crash, lower limb, chest injuries, compound fractures, right leg bones, left pneumothorax, rib fractures |
Bruinewoud, Brieley Joyce.pdf (PDF File, 97.4 KB) 2022 TASCD 79 |
Olivia McTaggart | 08-02-2022 | Alcohol, Rookery Road |
KN - deidentified.pdf (PDF File, 105.6 KB) 2022 TASCD 80 |
Simon Cooper | 08-02-2022 | LGH, Hypoxic Brain Injury, |
Hosking, Leigh Mathew.pdf (PDF File, 76.1 KB) 2022 TASCD 73 |
Simon Cooper | 05-02-2022 | Alcohol and Drugs, Single Motor Vehicle Crash, Huon Highway |
Whitehouse, Kieren Jamie Wesley.pdf (PDF File, 94.5 KB) 2022 TASCD 70 |
Simon Cooper | 04-02-2022 | Speed and Alcohol |
Cupit, Leon Gordon.pdf (PDF File, 92.1 KB) 2022 TASCD 72 |
Simon Cooper | 04-02-2022 | Colebrook Road, Barton Vale Road Campania, Motorcycle accident |
Wood, Stanley (PDF File, 100.3 KB) 2022 TASCD 68 |
Simon Cooper | 03-02-2022 | Coronial, unable to determine cause of death, vessel, fell, waters, bass strait. |
Reed, Ian William McDonald.pdf (PDF File, 94.9 KB) 2022 TASCD 65 |
Simon Cooper | 03-02-2022 | AstraZeneca, Intracerebral Haemorrhage, |
Griffiths, Deborah Renee (PDF File, 293.0 KB) 2022 TASCD 63 |
Simon Cooper | 01-02-2022 | coronial, passenger, two vehicle collison, multiple injuries, left side of body, chest or abdomen, arm and leg |
Chugg, Ethan.pdf (PDF File, 102.9 KB) 2022 TASCD 61 |
Olivia McTaggart | 31-01-2022 | Motor Vehicle Crash, Alcohol, Seat Belt |
AZ 2022 TASCD 60.pdf (PDF File, 467.1 KB) 2022 TASCD 60 |
Kenneth Stanton | 28-01-2022 | Mental Health Plan, Wyndham Clinic Private Hospital, Albert Road Clinic (ARC), Alum Cliffs. |
Mitchell, Gordon Arthur David.pdf (PDF File, 101.9 KB) 2022 TASCD 59 |
Simon Cooper | 28-01-2022 | LGH, Acute Myocardial Infarction, Coroners Comments |
Waters, Billy Ray.pdf (PDF File, 76.3 KB) 2022 TASCD 44 |
Simon Cooper | 24-01-2022 | Murder, Mayfield. |
Freeman, Stuart Clyde Dew.pdf (PDF File, 91.7 KB) 2022 TASCD 40 |
Simon Cooper | 21-01-2022 | Motor Vehicle Crash, Alcohol, |
de Wit, Pauline Catherine Marie.pdf (PDF File, 145.3 KB) 2022 TASCD 38 |
Robert Webster | 21-01-2022 | Motor Vehicle Crash, Midland Highway, Coroners Recommendations |
Hay, Geoffrey Robert.pdf (PDF File, 96.9 KB) 2022 TASCD 8 |
Simon Cooper | 05-01-2022 | Long Term Missing Person, Missing Persons Week |
Forrest, Allan Leslie.pdf (PDF File, 96.6 KB) 2022 TASCD 7 |
Olivia McTaggart | 05-01-2022 | Medical Episode, Loss of Control |
Pettigrew John Douglas.pdf (PDF File, 151.5 KB) 2022 TASCD 4 |
Robert Webster | 04-01-2022 | Motor Vehicle Crash, Mood Food Service Station Kempton, Coroner's Recommendation |