Coronial findings (decisions) 2020
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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 |
---|---|---|---|---|
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 |