Coronial findings (decisions) 2020

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) 2020
Title & TASCD number Coroner Date Keyword Responses to Coronial Recommendations
Kettle, Terrence Michael (AMK) Web.pdf (PDF File, 304.9 KB)
2020 TASCD 712
Andrew McKee 17-12-2020 Coronial, death in care, guardianship order, held in care, asphyxia, choking, food, Roy Fagan Centre, Inquest,
Oakley, Joseph Richard.(AMK) Web.pdf (PDF File, 307.3 KB)
2020 TASCD 711
Andrew McKee 17-12-2020 Coronial, held in care, guardianship order, inquest, person in care, Roy Fagan Centre, atherosclerotic, hypertensive cardiovascular disease.
Brewer, Ruby and Shanzel (PDF File, 164.5 KB)
707 & 708 TASCD 2020
Simon Cooper 14-12-2020 Coronial, House Fire, Smoke Alarm, Smoke inhalation, asphyxia, heating, flames, smoke, heating, electrical work.
Golding, Laura Rebecca (PDF File, 127.5 KB)
2020 TASCD 652
Olivia McTaggart 23-11-2020 Mental illness & health, water related, drowning, Copper Alley Bay, Lymington, dinghy, police response, psychotic episode, rescue, aerial search.
Woolley, Dale Robert (PDF File, 374.2 KB)
2020 TASCD 644
Andrew McKee 19-11-2020 Inquest, transport & traffic related, work related, Ten Mile Creek Farm, tractor rollover, not wearing a seatbelt, blunt trauma of the head, neck & chest, WorkSafe Tasmania, Riverdale Dairies Pty Ltd, recommendation
Spencer, Melissa Mary - web.pdf (PDF File, 122.9 KB)
2020 TASCD 615
Simon Cooper 09-11-2020 Drugs & alcohol, accidental overdose, prescription drugs, mixed drug toxicity, prescribing, Pharmaceutical Services Branch, Poisons Act 1971, Poisons Regulations 2018, schedule 8 substances, central nervous system depressants.
Marshall, Eric Craig (PDF File, 843.8 KB)
2020 TASCD 603
Andrew McKee 05-11-2020 Inquest, work related, forklift rollover, farm, not wearing a seat belt, workplace, Work Health and Safety Act, guilty,Burnie
Mikl, Petr (PDF File, 126.3 KB)
2020 TASCD 590
Olivia McTaggart 02-11-2020 Law enforcement, mental illness & health, death in custody, secure mental health unit, Wilfred Lopes Centre, inquest, natural cause of death
Wilson, Kerry Paul (PDF File, 109.9 KB)
2020 TASCD 592
Simon Cooper 02-11-2020 Transport & traffic related, motor vehicle crash, truck, collision, incorrect side of the road, Black River
Espie, James William (PDF File, 100.2 KB)
2020 TASCD 583
Olivia McTaggart 28-10-2020 Transport & traffic related, motor vehicle crash, Iveco prime mover, Freighter trailer, truck, speed, work related, employment, workplace, request by senior next of kin not to hold inquest pursuant to s26A(2) of the Coroners Act 1995
Mansell, Robert Charles (PDF File, 488.0 KB)
2020 TASCD 576
Olivia McTaggart 27-10-2020 undetermined cause of death, missing person, suspicious circumstances, Flinders Island, North East River, Salmon Rock, fishing, Joshua Kennedy, Stephanie Riggall
Nicolle, Paula Elizabeth (PDF File, 111.1 KB)
2020 TASCD 563
Simon Cooper 12-10-2020 Transport & traffic related, motor vehicle crash, multiple blunt traumatic injuries, instantaneous death, Kimberley Road, Railton, crash scene investigation.
Bond, Johnathon Lee.pdf (PDF File, 122.0 KB)
2020 TASCD 543
Simon Cooper 06-10-2020 intentional self harm, suicide, mental health and illness, mixed prescription drug toxicity, amisulpride, diazepam, mirtazapine, Tasmania Ambulance Service, delay in dispatch of ambulance
Boyle, John Patrick (PDF File, 140.6 KB)
2020 TASCD 542
Simon Cooper 05-10-2020 Geographic, leisure activity, caverneering, Tasmanian Caverneering Club, Mount Anne, North East Ridge, exploration, disappearance, undetermined cause of death.
Fish, Winston William - Web version.pdf (PDF File, 112.1 KB)
2020 TASCD 036
Olivia McTaggart 02-10-2020 coronial, organ failure, multiple snake bites, tiger snake, neuropathy, coagulopathy, farm
Oliver, Colin Jamie.pdf (PDF File, 124.3 KB)
2020 TASCD 537
Simon Cooper 01-10-2020 coronial, mountain bike, collision, head injury, blunt force,
Lockley, Rodney Dennis (PDF File, 107.8 KB)
2020 TASCD 535
Olivia McTaggart 29-09-2020 Transport & traffic related, four wheeled all-terrain vehicle, ATV, quad bike, drink driving, alcohol, excessive speed, speeding, Bruny Island
Pears, Phyllis (AMK) signed 11.09.20.pdf (PDF File, 437.3 KB)
2020 TASCD 518
Andrew McKee 11-09-2020 coronial, Wheat Pack, House Fire, Incineration, Flame, Heating, Thermal Mechanism
Breen, Kylie Anne (PDF File, 126.0 KB)
2020 TASCD 504
Olivia McTaggart 02-09-2020 Hypoxic brain and lung injury, drug toxicity and gas inhalation, suicide, euthanasia, multiple scleorosis, Advance Care Directive, Goals of Care Plan, Launceston General Hospital, Coroner's recommendation
Murray, Geoffrey Raymond (PDF File, 107.1 KB)
2020 TASCD 495
Olivia McTaggart 27-08-2020 Older person, natural cause death, acute myocardial ischaemia, Launceston General Hospital, Emergency Department, triaged patients, assessment and treatment, monitoring of whereabouts, documentation of significant interactions, recommendations.
Harmon, Trinton John (PDF File, 586.4 KB)
2020 TASCD 491
Olivia McTaggart 26-08-2020 South Arm Highway, transport and traffic related, single vehicle, misadventure, pedestrian walking on road, struck from behind, multiple traumatic injuries, failure to stop and render assistance, alcohol and drugs, DPP, Department of Public Prosecution, driving with suspended licence, Simone Bridges
Wellington, Timothy John (PDF File, 298.7 KB)
2020 TASCD 474
Olivia McTaggart 13-08-2020 alcohol and drugs, accidental death, intravenous injection of prescription medications, injection of crushed tablets intended for oral ingestion, methadone, quetiapine, diazepam, mirtazapine, cannabis, Tasmanian Opiod Pharmacotherapy Program
Wright, Maria Rebekah (PDF File, 148.8 KB)
2020 TASCD 473
Olivia McTaggart 13-08-2020 intentional self harm, mental illness and health, drowning, Howrah, Mental Health Act 2013, Protective Custody Order, involuntary admission, Royal Hobart Hospital, Tasmanian Health Service
Maynard, Grant Godfrey (PDF File, 100.7 KB)
2020 TASCD 470
Simon Cooper 12-08-2020 Transport & traffic related, motor vehicle accident, car crash, multi-organ failure, North West Regional Hospital, failure to properly diagnose
Howe, Rowland Michael Chilton (PDF File, 118.7 KB)
2020 TASCD 467
Simon Cooper 11-08-2020 Domestic incident, tree felling accident, hypothermia and rhabdomyolysis, traumatic crush injuries, chainsaws, lack of training, deficient falling techniques, recommendations.
Howard, Noeline Dawn (PDF File, 124.1 KB)
2020 TASCD 469
Simon Cooper 11-08-2020 adverse medical effects, failure to diagnose, misdiagnosis, Hobart Private Hospital, carcinomatosis, failure to report death to Coroner, medical, hospital.
Williamson, Colin George (PDF File, 114.5 KB)
2020 TASCD 463
Olivia McTaggart 10-08-2020 Tree felling accident, chainsaw, Tasmanian Forest Industries Training Board, expired Forest Works Licence, non-compliant helmet, Coroner's recommendations
Delios, Voula 2020 TASCD 458 (PDF File, 541.5 KB)
2020 TASCD 458
Simon Cooper 07-08-2020 Homicide and assault, mental illness and health, weapon, Tasmanian Prison Service, Wilfred Lopes Centre, Risdon Prison, North Hobart, Daryl Royston Wayne Cook, Section 24 Criminal Justice Mental Impairment Act 1999, remissions of sentence, mental health services, coroner's comments
Thompson, Michael Robert (PDF File, 134.3 KB)
2020 TASCD 437
Olivia McTaggart 29-07-2020 Transport & traffic related, work related, single vehicle crash, concrete truck, Tea Tree Road, speed, no seatbelt
McNeair, Jacqueline (PDF File, 116.0 KB)
2020 TASCD 427
Coroner Olivia McTaggart 27-07-2020 Older persons, physical health, subdural haematoma, mechanical fall with head strike, Launceston General Hospital, George Town Hospital.
Deuchar, Susan Ann (PDF File, 110.8 KB)
2020 TASCD 430
Olivia McTaggart 27-07-2020 Transport & traffic related, older persons, physical health, car accident, environmental heat & cold exposure, dehydration, missing person, Tullah
Borchi, Alessandro (PDF File, 105.7 KB)
2020 TASCD 414
Andrew McKee 20-07-2020 Transport & traffic related, motor vehicle crash, car accident, speed, alcohol, illicit drugs, criminal prosecution, causing death by dangerous driving, Huonville
Lyons, Matthew Clayton - web.pdf (PDF File, 133.8 KB)
2020 TASCD 408
Coroner Simon Cooper 17-07-2020 Drugs & alcohol, mental illness & health, mixed prescription drug toxicity, Royal Hobart Hospital, Department of Emergency Medicine, Liverpool Street.
Thompson, Paul Christopher (PDF File, 544.7 KB)
2020 TASCD 397
Olivia McTaggart 17-07-2020 Inquest, acute subdural haematoma, drugs & alcohol, assault, Coroner's comments
Crowden, Jeffrey Donald (PDF File, 276.7 KB)
2020 TASCD 398
Simon Cooper 17-07-2020 Long term missing person, deckhand, work related, water related, weather related, boating, dinghy
Alsop, Olaf Paul (PDF File, 92.5 KB)
2020 TASCD 393
Olivia McTaggart 16-07-2020 intentional self harm, suicide, hanging, mental illness and health, prescribing, drug seeking, pain medication
Stone, Corrie Collean (PDF File, 85.4 KB)
2020 TASCD 391
Olivia McTaggart 14-07-2020 Transport & traffic related, motor vehicle crash, Lebrina, speeding, death by negligent driving, charged and convicted
Lomas, Corey Ronald (PDF File, 99.7 KB)
2020 TASCD 384
Olivia McTaggart 14-07-2020 transport and traffic related, alcohol and drugs, single motorcycle crash, unlicenced, learner rider, speeding, riding at excessive speed, methamphetamine, unregistered, riding over blood alcohol limit, loss of control
Cashion, Dale John (PDF File, 315.6 KB)
2020 TASCD 389
Coroner Simon Cooper 13-07-2020 Transport & traffic related, mental Illness & health, motor vehicle, multiple severe crushing injuries, Davey Street, emergency services, Royal Hobart Hospital, crash investigation.
Neubert, Olga (PDF File, 327.3 KB)
2020 TASCD 374
Simon Cooper 02-07-2020 Domestic incident, homicide & assault, weapon, rifle, gunshot wound, murder, Klaus Neubert, estranged husband, Tasmania Police, family law
Shrimpton, Dallas Brooks (PDF File, 137.5 KB)
2020 TASCD 350
Olivia McTaggart 30-06-2020 Drugs & alcohol, intentional self-harm, mental illness & health, transport & traffic related, suicide, carbon monoxide inhalation, asphyxia, Launceston General Hospital, Royal Hobart Hospital, Emergency Department, Inpatient Withdrawal Unit, Coroner's comments
Hinley, David John (PDF File, 116.6 KB)
2020 TASCD 347
Olivia McTaggart 30-06-2020 alcohol and drug related, mixed prescription drug toxicity (codeine, paracetamol, mirtazapine, promethazine, diazepam), accidental overdose, appropriate prescribing regime, stockpiling medication
Konstantinidis, Agis (PDF File, 124.6 KB)
2020 TASCD 317
Coroner Simon Cooper 19-06-2020 Inquest, older person, person held in care, Guilford Young Grove, Roy Fagan Centre, emergency guardianship order, mental health, aspiration pneumonia, dementia
Crawford, Jacob Raymond (PDF File, 126.8 KB)
2020 TASCD 314
Simon Cooper 15-06-2020 Quad bike roll-over, accident, head injury, drugs & alcohol, pillion passenger, dam, coroner's comment
Bishop, Laurence (PDF File, 121.4 KB)
2020 TASCD 303
Coroner Simon Cooper 12-06-2020 Inquest, person in care, older person, Bishop Davies Nursing Home, Roy Fagan Centre, aspiration pneumonia, advanced dementia.
Arnold, Derek William (PDF File, 116.8 KB)
2020 TASCD 309
Simon Cooper 12-06-2020 Acute methadone toxicity, prescription drug overdose, Pharmaceutical Services Branch, breach of Poisons Act 1971, Coroner's comment
Dickinson, Mary Marguerite (PDF File, 485.6 KB)
2020 TASCD 291
Olivia McTaggart 05-06-2020 Inquest, person held in care, Roy Fagan Centre, comments, recommendations, pneumonia, Guardianship Order, Public Guardian, Guardianship and Administration Board, fall
Tonner, Justin Michael (PDF File, 104.0 KB)
2020 TASCD 282
Olivia McTaggart 01-06-2020 Homicide and assault, weapon, drugs and alcohol, hypovolemic shock, multiple stab wounds, popliteal artery, manslaughter, Robert Michael Allen, coroner's comments
Adams, Christopher Neil (PDF File, 98.7 KB)
2020 TASCD 253
Olivia McTaggart 19-05-2020 Drugs & alcohol, mental illness & health, methadone, methadone program, take-away doses, Tasmanian Opioid Pharmacotherapy Program, drug toxicity
McCarthy, Blake John (PDF File, 109.9 KB)
2020 TASCD 254
Andrew McKee 19-05-2020 Transport & traffic related, motorbike, motorcycle, dirt bike, unroadworthy, crash, accident, speed, illicit drugs, erratic, unlicensed, unregistered
Steer, Marianne (PDF File, 111.0 KB)
2020 TASCD 250
Olivia McTaggart 19-05-2020 Drugs & alcohol, mental illness & health, methadone, methadone program, take-away doses, Tasmanian Opioid Pharmacotherapy Program, drug toxicity
Baby I (PDF File, 106.9 KB)
2020 TASCD 251
Simon Cooper 19-05-2020 Child & infant death, baby, co-sleeping, bed sharing, suffocation, avoidable
Griffin, James Geoffrey (PDF File, 101.4 KB)
2020 TASCD 246
Simon Cooper 18-05-2020 Intentional self-harm, mixed drug toxicity, overdose of prescription medication, criminal sexual misconduct, criminal charges, toxicological analysis, Launceston General Hospital.
Barber, Gavin John (PDF File, 90.1 KB)
2020 TASCD 273
Olivia McTaggart 18-05-2020 Single motorcycle crash, transport & traffic related, head injury, existing injuries, Harley Davidson, drugs, THC, cannabis
Baby E (PDF File, 103.5 KB)
2020 TASCD 243
Simon Cooper 18-05-2020 Child & infant death, baby, co-sleeping, bed sharing, suffocation, avoidable
Hunter, Feryne Gaylene (PDF File, 137.7 KB)
2020 TASCD 241
Coroner Olivia McTaggart 15-05-2020 Adverse medical effects, older person, permanent tracheostomy, aspiration, airway obstruction, Hobart District Nursing Service, Ambulance Tasmania, Refusal of Treatment and Transport Policy, Coroner's recommendation.
Dennis, Wayne Phillip (PDF File, 104.9 KB)
2020 TASCD 240
Andrew McKee 15-05-2020 transport and traffic related, single vehicle motor accident, car crash, Port Sorell, failure to wear seat belt, drink driving, blood alcohol of 0.261 g/100ml, driving in excess of speed limit, 120km/h in a 80km/h zone
Cashion, Brett Matthew (PDF File, 293.9 KB)
2020 TASCD 238
Olivia McTaggart 14-05-2020 Mental illness & health, drugs & alcohol, accidental prescription medication overdose, morphine, doctor shopping
Riley, Shane Patrick (PDF File, 375.3 KB)
2020 TASCD 227
Andrew McKee 12-05-2020 house fire, fire related, Latrobe, charging battery, combustible materials near charger, accidental
McLean, James Hugh (PDF File, 117.8 KB)
2020 TASCD 213
Simon Cooper 08-05-2020 long term missing person, missing bushwalker, undetermined cause of death, South West National Park, Huon Track, ill-equipped, bushwalking, no personal locator beacon, PLB, Coroner's comments
Tonks, Russell Rodney (PDF File, 100.7 KB)
2020 TASCD 204
Simon Cooper 05-05-2020 Transport & traffic related, motor vehicle accident, pneumonia, Royal Hobart Hospital, reminder to medical practitioners
Ferguson, Roy Waldren Trevor (PDF File, 117.5 KB)
2020 TASCD 198/20
Coroner A McKee 29-04-2020 Motor vehicle crash, Nunamara, campervan, drink driving, inattention, incorrect side of the roadway, head-on collision, prime mover
Jones, Bradley James (PDF File, 124.8 KB)
2020 TASCD 194
Andrew McKee 28-04-2020 transport and traffic related, motorcycle crash, multiple trauma, collision with stationary prime mover, Mayfield, unroadworthy, unregistered, unlicensed, failure to wear helmet, alcohol and drugs, cannabis, methylamphetamine
Hayward, Vanessa Claire (PDF File, 113.8 KB)
2020 TASCD 187
Coroner S Cooper 23-04-2020 Transport and traffic related, motor vehicle crash, speed, alcohol, drugs, New Town, unroadworthy, reckless driving, manslaughter, death by dangerous driving, imprisonment
Hyde, Zachary Tyler (PDF File, 98.3 KB)
2020 TASCD 190
Olivia McTaggart 23-04-2020 homicide, manslaughter, assault, consequences of stab injury, hypoxic brain injury, exsanguination, cardiac arrest, Deejay Feil, sentencing comments, Supreme Court of Tasmania
Tudor, Adrian David (PDF File, 95.3 KB)
2020 TASCD 183
Olivia McTaggart 21-04-2020 transport and traffic related, motor vehicle accident, Launceston, Wellington and Frederick Streets, manslaughter, ran red light, driving in excess of speed limit, driving whilst disqualified, decamped from scene, Dylan Lee, sentenced to imprisonment
Petterwood, Michael Lewis (PDF File, 115.5 KB)
2020 TASCD 182
Olivia McTaggart 20-04-2020 natural cause death, atherosclerotic coronary vascular disease, Nyrstar Hobart Pty Ltd, Lutana, zinc works, factory, death at work place, Work Safe Tasmania
Godfrey, Dale Eric (PDF File, 95.2 KB)
2020 TASCD 179
Coroner Simon Cooper 20-04-2020 Undetermined Circumstances, Undetermined Cause of Death, Mount Wellington Park, East-West Fire Trail, Mental Health, DNA Analysis
Chequer, Ellen Marie (PDF File, 98.2 KB)
2020 TASCD 176
Coroner Olivia McTaggart 17-04-2020 Transport & Traffic Related, Motor Vehicle Crash, Traumatic Injuries, Crash Investigation, East Tamar Highway, Inattention, Wire Rope Barrier.
Connell, Jay (PDF File, 84.9 KB)
2020 TASCD 160
Coroner O McTaggart 15-04-2020 Transport and traffic related, weather related, motor vehicle accident, truck, speed, wet weather, improved roadway, advisory signage, Glengarry
Southwell, Sandra (PDF File, 158.7 KB)
2020 TASCD 166
Simon Cooper 15-04-2020 Leisure activity, transport & traffic related, weather related, aircraft crash, private airfield, windsock, coroner's comment & recommendation,
Emery, Judith Anne (PDF File, 121.3 KB)
2020 TASCD 158
Olivia McTaggart 08-04-2020 aged care, older persons, fall from cliff, possible drowning, Derwent Waters, retirement village, Claremont, undetermined circumstances
Pettersson, Jan Axel (PDF File, 85.2 KB)
2020 TASCD 153
Coroner S Cooper 07-04-2020 Falls, leisure activity, older persons, Mersey Community Hospital, infection, avoidable, Root Cause Analysis, misdiagnosed
Pears, William Ernest (PDF File, 123.3 KB)
2020 TASCD 149
Coroner S Cooper 03-04-2020 Adverse medical effects, Coroner's comment, operation, George Town Hospital, Launceston General Hospital, St. Vincent's Public Hospital, surgery, laparoscopic cholecystectomy
Hargraves, Audrey Doreen (PDF File, 113.7 KB)
2020 TASCD 151
Coroner Olivia McTaggart 03-04-2020 Adverse medical effects, older persons, reversal of Hartmann's procedure, post-operative complications, electrocardiogram, long QT syndrome, St Luke's Hospital, Launceston General Hospital, recommendation
Button, Shirley Gwendoline (PDF File, 116.0 KB)
2020 TASCD 142
Coroner S Cooper 01-04-2020 Adverse medical effects, falls, leisure activity, older persons, Launceston General Hospital, LGH
Standaloft, Cora Gwendoline (PDF File, 100.4 KB)
2020 TASCD 141
Coroner S Cooper 01-04-2020 Aged care, falls, older persons, Coroner's comment, bed alarms
Szemes, Kim Leonie Maree (PDF File, 104.5 KB)
2020 TASCD 128
Simon Cooper 23-03-2020 undetermined cause of death, mental health and illness, Ambulance Tasmania, Mental Health Services
Shepperd, Stephen Charles (PDF File, 92.5 KB)
2020 TASCD 124
Andrew McKee 20-03-2020 transport and traffic related, single motor vehicle crash, multiple chest injuries, failure to wear seatbelt, intoxicated, drink driving, drugs and alcohol, coroner's comments
Wood, Glenn Thomas (PDF File, 86.0 KB)
2020 TASCD 105
Coroner O McTaggart 11-03-2020 Drowning, leisure activity, fishing, water related, weather related, winter, alcohol related
MH (PDF File, 144.6 KB)
2020 TASCD 99
Olivia McTaggart 09-03-2020 child and infant death, sudden unexpected death in infancy (SUDI), co-sleeping with parents, potential overlay whilst sleeping, sleeping in adult bed, smoking, unsafe sleeping environment, bronchopneumonia, Child Safety Services, Child Protection Services, Child and Youth Services
Wilton, Melissa Joan (PDF File, 135.3 KB)
2020 TASCD 094
Coroner A McKee 05-03-2020 Drugs & Alcohol, Transport & Traffic Related, Motor Vehicle Accident, Speeding, Collision, Distraction, Orford, Learner Licence
Lawrence, Timothy Michael (PDF File, 137.5 KB)
2020 TASCD 92
Simon Cooper 02-03-2020 water related, multiple injuries, personal water craft (PWC), jet ski, Chinaman's Bay, Dunalley, alcohol and drugs, operating a PWC whilst intoxicated, collision with stationary object
Kiley, Jordan Jackson (PDF File, 89.7 KB)
2020 TASCD 86
Olivia McTaggart 02-03-2020 Traffic and transport related, youth, single vehicle motorcycle crash, blunt injuries of head, neck and chest, loss of control, sweeping turn, Strathaven Drive Rosetta
Reid, Lena Kathleen (PDF File, 116.0 KB)
2020 TASCD 84
Andrew McKee 28-02-2020 transport and traffic related, motor vehicle crash, Longford, Illawarra Road, methylamphetamine, cannabis, driving under influence of illicit substances
Evans, Conor Maclaren (PDF File, 99.2 KB)
2020 TASCD 74
Olivia McTaggart 18-02-2020 Drugs and alcohol, mental illness and health, mixed drug toxicity, respiratory arrest, methadone, diazepam, coroner's finding, coroner's comment
Dawkins, Kelvin John (PDF File, 85.6 KB)
2020 TASCD 72
Olivia McTaggart 17-02-2020 Transport & traffic related, car crash, older persons
Whitney, Margaret Ann (PDF File, 100.6 KB)
2020 TASCD 64
Olivia McTaggart 14-02-2020 Aged care, nursing home, fall, older persons, dementia, person held in care, Royal Hobart Hospital, Roy Fagan Centre, Public Guardian, guardianship order, medical review, Coroner's comments
Procter, Wilfred Pearson (PDF File, 118.3 KB)
2020 TASCD 046
Simon Cooper 03-02-2020 Missing person, LTMP, unknown cause of death, bones, Launceston
Potts, Robert James (PDF File, 110.6 KB)
2020 TASCD 44
Simon Cooper 28-01-2020 Transport & traffic related, motorcycle crash, blunt force trauma, crash investigation, speed, unroadworthy
Clark, Guy Redman (PDF File, 513.8 KB)
2020 TASCD 22
Simon Cooper 21-01-2020 Electrocution, work related, Residual Current Devices, portable defibrillator, Coroner's finding, Coroner's recommendation, Coroner's comment
Bell, Graeme Clem (PDF File, 78.5 KB)
2020 TASCD 16
Olivia McTaggart 16-01-2020 Natural cause death, location, West Tamar Highway, Lanena, older persons, physical health, The Public Trustee
Combes, Margot Janeece (PDF File, 89.6 KB)
2020 TASCD 3
Olivia McTaggart 03-01-2020 Fall, work related, pulmonary thromboembolus, left medial malleolar fracture, anti-coagulation, risk of DVT and PE, coroner's finding, coroner's comment
Mole, Andrew Robert (PDF File, 368.7 KB)
2019 TASCD 410
Olivia McTaggart 11-10-2019 transport and traffic related, motor vehicle collusion, two vehicle crash, failure to take care when overtaking, prime mover, sedan, Bass Highway, Deloraine, multiple injuries