Coronial findings - 2012 and earlier

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

Tip: please enter in a search box a name, year or a number of the coronial finding you are looking for.

Table: Coronial findings - 2012 and earlier
Title & TASCD number Coroner Date Keyword Responses to Coronial Recommendations
Allen, Judith Louise
2011 TASCD 268
Rod Chandler 25-08-2011 Aparoscopic Gastric Band Revision Surgery, Coroner's Recommendations, RHH, Jehovah Witness
An Elderly Gentleman de-identified
2010 TASCD 458
Glenn Hay 23-12-2010 Fall, Elderly, Multiple Organ Failure, Coroners Recommendations
Anderson, Brendan Kenneth
2012 TASCD 112
Tim Hill 04-04-2012 ATV Collision with a Train, Crossing Train Lines
Archer, Colin Gladstone
2012 TASCD 223
Robert Pearce 05-07-2012 Cardiac Tamponade, Ruptured Acute Myocardial Infarct
Arkinstall, Christine Alainie
2011 TASCD 172
Glenn Hay 19-05-2011 Anaphylactic Reaction, Seafood
ATV Death de-identified
2004 TASCD 371
Rod Chandler 22-07-2004 ATV Death, All Terrain Vehicle, Margate,
Baby A de-identified
2012 TASCD 202
Olivia McTaggart 28-06-2012 SUDI, Co-Sleeping, Coroners Recommendations
Baby H de-identified
2012 TASCD 82
Olivia McTaggart 14-02-2012 Sudden Infant Death Syndrome (SIDS)
Baby J de-identified
2010 TASCD 423
Olivia McTaggart 07-12-2010 SIDS, Coroners Comments
Baby R de-identified
2011 TASCD 256
Olivia McTaggart 31-05-2011 Inquest, Oesophageal Atresia and Tracheoesophageal Fistula, Child Protection
Baby T - de-identified
2011 TASCD 180
Olivia McTaggart 18-04-2011 Recommendation, Safe Sleeping, Co-Sleeping, SIDS, DHHS, Educating
Baby W de-identified
2012 TASCD 200
Rod Chandler 09-06-2012 Hypoxic Brain Damage, Asphyxia, RHH, Serious Incident Panel Review, Coroners Recommendation
Bailey, Elwyn Aubrey
2011 TASCD 121
Rod Chandler 17-05-2011 Hobart Private Hospital, Pancreatitis, Ischaemic Heart Disease
Bardenhagen, Guy Anthony
2011 TASCD 130
Glenn Hay 09-05-2011 Mt Picton, SW Tasmania, Missing Person
Batchelor, Ruth Marina
2012 TASCD 087
Glenn Hay 30-03-2012 Older Person, Glenview Nursing Home, Asphyxia
Beames, Norman Valentine
2011 TASCD 393
Robert Pearce 11-10-2011 NWRH, Elderly Person,
Beer, Vaughan Matthew
2011 TASCD 442
Tim Hill 09-12-2011 Motor Vehicle Crash, Multiple Trauma, Drugs
Bellette-Coutts, Ashley
2012 TASCD 151
Christopher Webster 18-05-2012 Motor Vehicle Collision, Chest, Abdominal Injuries, Seatbelt
Binge Drinking - De-identified
2007 TASCD 261
Olivia McTaggart 10-09-2007 Binge Drinking, Intoxicated, Acute Alcohol Intoxication
Bingley, Andrew Bruce Erskine
2012 TASCD 266
Reg Marron 22-06-2012 Struck by Motor Vehicle, Cycling Crash, Bass Highway
Blackaby, Karen Elizabeth
2011 TASCD 450
Don Jones 11-11-2009 Drowning, Privacy Act, Mental Illness
Blake, Hannah Maree
2012 TASCD 171
Robert Pearce 10-05-2012 Pneumonia, Drugs, Mental Health Services North
Booth, Lonnie George
2012 TASCD 90
Stephen Carey 28-03-2012 Hanging, Chronic Back Pain, Heart Problems
Bourke, Melanie Patricia
2012 TASCD 290
Robert Pearce 19-08-2012 Aspiration Pneumonia and Pyelonephritis, Mersey Community Hospital
Bowkett, Damien Steven
2011 TASCD 340
Don Jones 17-06-2011 Targa, Motorcycle Crash, Speeding
Breen, Donald Martin
2012 TASCD 224
Robert Pearce 29-06-2012 Intra-Cerebral Haemorrhage, Carvedilol, NWRH
Brooks, William Vernon
2012 TASCD 289
Robert Pearce 18-09-2012 Fall, LGH
Bryant, Eileen Margaret
2010 TASCD 416
Rod Chandler 01-11-2010 Hospital, coroner, Recommendation, Tas Ambulance Service, Fall, Medication, Care, Treatment
Buenger, Gisela and Hans.pdf (PDF File, 624.9 KB)
2011 TASCD 204-205
Glenn Hay 22-06-2011 Mixed Prescription Drug Toxicity, Asphyxia
Burdon, Patrick
2012 TASCD 073
Glenn Hay 14-03-2012 Suicide, Mental Illness, Asphyxia
Burmister, Garry Paul
2012 TASCD 315
Stephen Carey 30-09-2012 Combined Prescription Drug (Diazepam and Metabolite, and Atenolol) and Alcohol Toxicity, Chronic Alcoholism, Alcoholic Liver Disease and Chronic Anxierty
Cafasso, Victoria Anna Elizabeth
2005 TASCD 125
Don Jones 23-03-2005 Beaumaris Beach, Exsanguination, Stab Wounds, Inquest,
Casely, Gary Robert
2012 TASCD 209
Stephen Carey 20-07-2012 Unexpected Death, Schizophrenia, Post-Traumatic Seizure Disorder.
Chapman, Lennox Paul
2011 TASCD 152
Olivia McTaggart 03-06-2011 Inquest, Infant, Spencer Clinic, Coroner's Recommendations
Child de-identified
2005 TASCD 182
Peter Henric Wilson 14-04-2005 Hypoxic Brian Damage, Type 1 Diabetes, Insulin,
Beamish, Bruce and Chugg, Adrian (PDF File, 63.9 KB)
2009 TASCD 324, 325
Stephen Carey 20-10-2009 Multiple Injuries, Veolia, Occupational Health and Safety
Clarke, Christine Jan
2011 TASCD 421
Christopher Webster 14-11-2011 Electrocution, Heart Disease
Colson, David James
2010 TASCD 1
Stephen Carey 07-01-2010 Recommendations, Workplace, Diving, Abalone, Water Safety
Connor, Kelvin John
2011 TASCD 391
Glenn Hay 19-09-2011 Elderly Person, Peritonitis, Heart Disease, PEG Tube
Cooper-White, Leo Thomas
2012 TASCD 192
Robert Pearce 15-05-2012 Fall, Coats Patons,
Cracknell, Dorene May
2010 TASCD 413
Glenn Hay 01-11-2010 Fall, St John's Campus, Coroners Recommendations
Cubit, Ross Donald
2011 TASCD 212
Stephen Carey 22-06-2011 Recommendation, Drowning, Alcohol, Storm Bay,
Cyclist - De-identified
2007 TASCD 204
Peter Henric Wilson 03-05-2007 Burnie, Warning, Bicycle, Parental Supervision
Davies, Joffre George
2011 TASCD 131
Glenn Hay 09-05-2011 Pedestrian, Decreased Mobility, Unroadworthy.
Davis, Timothy Graham
2011 TASCD 036
Stephen Carey 25-01-2011 Combined Drug Intoxication, Schedule 8 Medications
Dean, Michael Laurence
2010 TASCD 209
Glenn Hay 23-04-2010 Drug Toxicity, Mental Health, Complex Medical Problems
Denman, Gloria Jean
2012 TASCD 072
Robert Pearce 08-03-2012 Carbon Monoxide Poisoning, House Fire
Dent, Jonathan Paul
2012 TASCD 268
Michael Brett 31-08-2012 Natural Causes, Bushwalking, Hyponatremia, Dial Ranges
Desta, Desalegn Zewdu
2011 TASCD 166
Rod Chandler 31-05-2011 Cambridge, Garbage Truck, left hand drive, Recommendations, Negligent Driving
Dingle, Simon Duncan
2012 TASCD 349
Tim Hill 07-12-2012 Traumatic Subarachnoid Hemorrhage, Manslaughter
Doodt, Russell Charles
2010 TASCD 110
Olivia McTaggart 23-04-2010 Drug Toxicity, Mental Health, Alcohol Dependence, Inquest
Doyle, Zachary George
2011 TASCD 408
Rod Chandler 31-10-2011 'Perseverance', Roaring Beach, Crane,
Drowning - De-identified
2008 TASCD 248
Stephen Carey 25-06-2008 Saltwater Drowning, Roaring Beach, Weather Conditions, age, Alcohol
Drowning - De-identified
2007 TASCD 292
Olivia McTaggart 09-10-2007 Recommendation, Drowning, Water Safety
Drownings Hippolyte Rocks - De-identified
2007 TASCD 372
Stephen Carey 10-12-2007 Drowning, Hypothermia, Fishing, Competition, Tuna, EPIRB, Recommendation, Bravery, Weather
Drug Overdose - de-identified
2008 TASCD 36
Stephen Carey 14-02-2008 Mixed Drug Overdose, Septicaemia, Section 22 of the Alcohol and Drug Dependency Act 1968
Elderly Fall - De-identified
2009 TASCD 154
Rod Chandler 04-06-2009 Recommendations, Falls, Elderly, Personal Alarms, Personal Protection, Reportable Death
Fazackerley-Watson, Corey Albert
2012 TASCD 049
Robert Pearce 07-02-2012 Drug Overdose, Alprazolam, Drug Treatment Order, Illicit Drugs
Funari, Rachel
2012 TASCD 124
Christopher Webster 18-05-2012 Missing Person, Died in an Unknown Location
Giuliani, Paul
2012 TASCD 196
Christopher Webster 18-06-2012 Motor Vehicle Crash, Severe Atherosclerotic Coronary Vascular Disease
Gleeson, Cherry
2011 TASCD 344
Christopher Webster 15-09-2011 Hyperthermia, Environmental Heat Exposure, Entrapment in Boot, Alcohol
Greedy, Judd Robert
2010 TASCD 361
Don Jones 04-10-2010 Motorcycle Accident, Multiple Blunt Traumatic Injuries, Coroners Recommendations
Green, Mark Leslie
2010 TASCD 277
Stephen Carey 05-07-2010 Blunt Trauma, Drug Intoxication, Alcohol Abuse, Fall
Gregson, Kellie Maree
2011 TASCD 78
Rod Chandler 31-03-2011 Coroner, Tasmania, Crash, Accident, Passenger, Criminal Charges, Dangerous Driving, Collision, Tea Tree, Negligent Driving.
Grice, Billy John
2011 TASCD 268
Glenn Hay 05-10-2023 Motor Vehicle Accident, Swollen Brain, Baskerville Road
Grunwaldt, Nancy
2004 TASCD 182
Peter Wilson 19-03-2004 Foul Play, St Helens and Bicheno, St Helens Hostel,
Gunn, Donna Sharee
2012 TASCD 052
Michael Brett 06-02-2012 Motor Vehicle, Crash, Coroner, Tasmania, Driver, Fatigue, Warning
Harris, David John
2012 TASCD 288
Robert Pearce 19-09-2012 Acute Alcohol Toxicity
Harris, John Phillip
2011 TASCD 175
Stephen Carey 03-05-2011 St Helens, Fisherman, 'Sirocco',
Harris, Leonie
2011 TASCD 175
Stephen Carey 03-05-2011 St Helens, Fisherman, 'Sirocco'
Hay, Sandra Winidred
2012 TASCD 245
Stephen Carey 23-08-2012 Mixed Drug Toxicity, Aspiration Pneumonia.
Hayes, Adrian Brian
2010 TASCD 311
Rod Chandler 25-08-2010 Inquest, Cornwall Coal, WST
Hepburn, Blair Anthony
2010 TASCD 247
Christopher Webster 15-06-2010 Trampoline Accident, Coroner's Recommendations
Holloway, Maxine Frances
2011 TASCD 125
Stephen Carey 03-05-2011 Prescription Drug Overdose, Mental Illness
Howell, Rodney Peter
2011 TASCD 347
Stephen Carey 20-09-2011 Pulmonary Barotrauma, Diver
Howells, Theresa Rachael
2011 TASCD 163
Christopher Webster 30-05-2011 Hanging, Drugs, Psychiatric Problems, Mental Illness
Hull, David Jocelyn
2011 TASCD 386
Stephen Carey 03-10-2023 "The Narrows" Marion Bay, Drowning, Misadventure
Ind, Stephen David
2012 TASCD 285
Robert Pearce 30-08-2012 Asphyxia, Norwood, Neena
Infant - de-identified
2009 TASCD 357
Rod Chandler 11-12-2009 Co-Sleeping, SUDI, Coroner's Comments
Infant - de-identified
2006 TASCD 149
Christopher Webster 20-04-2006 Infant Death, SIDS
Intentional Firearm - De-identified
2008 TASCD 106
Rod Chandler 28-01-2008 Self-Inflicted Injury, LGH, Gun Safe
Jaffray, Reginald John
2012 TASCD 339
Michael Brett 16-11-2012 Drowning, Stowport, Dementia
John, Glyn Edwin
2011 TASCD 066
Glenn Hay 28-02-2011 Recommendations, Ambulance, Tasmania, AT, Ladder, Fall, Domestic Duties
Jones, Jarrod Keith
2008 TASCD 138
Donald John Jones 21-05-2008 Renison Bell Tin Mine, Zeehan
Kilby, Clement Bernard
2011 TASCD 024
Rod Chandler 17-01-2011 Mised Drug Toxicity, Coroner's Recommendations
Kukuljevic, Peter Cecil
2011 TASCD 298
Christopher Webster 22-08-2011 Murchison Highway, Motor Vehicle Crash, Speed
Kuol, Kuol Piyom
2012 TASCD 141
Glenn Hay 09-05-2012 Hanging, Suicide, Intentional
Lawrence, Jay Harli
2011 TASCD 345
Olivia McTaggart 22-09-2011 Mixed Drug Toxicity, Alcohol and Drug Services, Prescribing Guidelines
Lee, Basil Alexander
2011 TASCD 126
Stephen Carey 03-05-2011 Fisherman, Decomposition, Vessel, MAST
Lee, Duncan Joseph
2011 TASCD 213
Glenn Hay 29-06-2011 Tasman Bridge, Mental Illness
Levi, Rene
2012 TASCD 92
Rod Chandler 07-05-2012 Inquest, LHS, School Excursion
Limbrick, Jeffrey David
2011 TASCD 271
Rod Chandler 24-08-2011 RHH, Thoracic Spinal Fracture, NWRH
Lister, Matthew David
2008 TASCD 139
Don Jones 21-05-2008 Mechanical Scaling Operations, Rock Fall
Littlejohn, Regan Anne
2011 TASCD 228
Robert Pearce 06-07-2011 Fall, Tractor, Multiple Blunt Injuries
Lovell, Marcus Dean
2012 TASCD 014
Christopher Webster 03-01-2012 House Fire, Asphyxia, Smoke Inhalation, Mental Illness
Lovell, Robbie
2011 TASCD 300
Stephen Carey 29-08-2011 Drowning, Boating Mishap, Severe Ischemic Heart Disease
Lyall, Jakyung Seo
2012 TASCD 28
Rod Chandler 24-02-2012 Detoxification Unit, Alcohol and Drug Service, Hanging Points, Design and Construction, Coroner's Recommendation, Inquest
Maher, Kayla Maree
2011 TASCD 254
Olivia McTaggart 05-07-2011 Motor Vehicle Crash, Blunt Trauma, Cannabis, Excessive Speed, DIER
Margaret J (Vessel) deaths of Hill, Ronald Clement, Giles, Kimm Ronald and Kirkpatrick, Robert Clyde
2002 TASCD 591
Don Jones 26-08-2002 Inquest, Margaret J, Fishing Vessel, Class 3 C Licence, Modification, Life Raft, Search and Rescue, EPIRB, Weather, Salvage Coroner Recommendations
Marshall, Donald John
2011 TASCD 388
Stephen Carey 04-10-2011 Drowning, Cray Fishing, Cape Portland, Fisherman, Fosters Island, 'Florence', Police Search and Rescue, Cold Case Unit
Martinez, Josue
2009 TASCD 216
Tim Hill 07-07-2009 Motor Vehicle Crash, High Speed, Talbot Road
Master P de-identified
2012 TASCD 376
Olivia McTaggart 08-10-2012 Infant, Co-Sleeping, Threat to breathing, SUDI
McLeod, Alastair James Douglas
2011 TASCD 01
Christopher Webster 11-01-2011 Hobart Clinic, Hanging, Mental Illness, Inquest
Mennitz, Russell Alfred
2011 TASCD 410
Christopher Webster 15-12-2011 Elderly Person, Motor Vehicle Crash, Asphyxia
Miller, Norman Leslie
2012 TASCD 13
Christopher Webster 03-01-2012 Assault, Knife, Small Wood Axe, Weapons, Fire, Lack of Integration Services for Prisoners
Miss R - de-identified
2012 TASCD 267
Robert Pearce 20-08-2012 Hanging, Suicide
Money, Douglas John
2011 TASCD 415
Stephen Carey 21-11-2011 Kelly Basin, Strahan, Elderly Person, Natural Causes
Motor Vehicle Crash - De-identified
2009 TASCD 234
Rod Chandler 21-07-2009 Recommendation, Motor Vehicle Crash, Driver, truck, Volvo, key, Keys, ignition, Nissan, Datsun, disengage Engine, Safety, keys in ignition, dangerous, Steering, education, Mechanics
Motor Vehicle Crash - De-identified
2010 TASCD 17
Rod Chandler 18-01-2010 Magistrate, Court, Investigation, Motor Vehicle Crash, Coroner, Suicide, Midland Highway, Jericho, Mental Health
Motor Vehicle Crash - De-identified
2009 TASCD 250
Rod Chandler 20-08-2009 Coronial, Driver, Drinking, Alcohol, High Blood Alcohol Concentration, RSA, responsible service alcohol, 'P' plater, provisional licence, road, DIER, hospitality industry
Motorised Scooters - De-identified
2007 TASCD 306
Olivia McTaggart 06-11-2007 Recommendation, Safety, Licensing, Scooter, Motorised scooter, Disability, Elderly Persons
Mr B de-identified
2012 TASCD 188
Melanie Bartlett 29-03-2012 Motor Vehicle Crash, Bass Highway, Weather Conditions
Mr B de-identified
2012 TASCD 246
Stephen Carey 27-08-2012 Hypoxic Brain Damage Insulin Intoxication.
Mr C - de-identified
2012 TASCD 444
Don Jones 23-11-2011 Combined Drug Intoxication, Illicit Drugs, Poppy Tea
Mr H de-identified
2010 TASCD 467
Rod Chandler 17-12-2010 Hypoglycaemic Episode, Diabetes
Mr K de-identified
2011 TASCD 370
Robert Pearce 11-10-2011 Hanging, Mental Illness, Spencer Clinic
Mr L de-identified
2011 TASCD 354
Robert Pearce 20-09-2011 Coroner, Suicide, Firearm, Depression
Mr L de-identified
2011 TASCD 364
Stephen Carey 23-08-2011 Motor Vehicle Accident, Mental Illness, RHH
Mr M de-identified
2011 TASCD 422
Stephen Carey 12-12-2011 Recommendation, Medical Procedure, Elderly Person
Mr M de-identified
2011 TASCD 318
Rod Chandler 29-08-2011 Overdose, Mixed Drug Toxicity, Propranolol, Venlaxafine, Nortriptyline, Cardiac Conduction Pathway, Mental Health Act, ED, National Clinical Handover Initiative
Mr M de-identified
2012 TASCD 354
Michael Brett 29-11-2012 Hanging, Alcohol and Drug Abuse
Mr P de-identified
2011 TASCD 073
Glenn Hay 11-03-2011 Suicide, Mental Illness
Mr S de-identfied
2011 TASCD 402
Robert Pearce 07-11-2011 Temazepam and Sertraline, Mental Illness
Mr W de-identified
2011 TASCD 403
Tim Hill 27-09-2011 Shared Care Facility, Asphyxia, Coroner's Recommendations
Mrs K de-identified
2010 TASCD 412
Stephen Carey 26-10-2010 Paracetamol, Stress. Anxiety
Mrs M de-identified
2010 TASCD 417
Stephen Carey 24-09-2010 Drowning, PFD, Doughboys
Mrs M de-identified
2012 TASCD 152
Glenn Hay 11-05-2012 Older Person, Incised Wounds, Nitrazepam Intoxication, Ailing Health
Mrs N de-identified
2012 TASCD 206
Glenn Hay 18-07-2012 Drowning, Misadventure
Ms C de-identified
2012 TASCD 377
Robert Pearce 23-10-2016 Hanging, Suicide,
Ms F de-identified
2012 TASCD 314
Stephen Carey 30-09-2012 Extensive Blunt Traumatic Injury, Drowning, Fall
Ms L de-identified
2012 TASCD 303
Stephen Carey 30-09-2012 Fall, Financial Situation, Mental Health
Ms M de-identified
2012 TASCD 272
Stephen Carey 27-08-2012 Blunt Trauma, Drowning, Fall
Ms R de-identified
2012 TASCD 286
Robert Pearce 14-09-2012 Fall, Cliff near the Leven Canyon Lookout
Ms W de-identified
2011 TASCD 115
Tim Hill 11-02-2011 Swine Flu, Recommendations, Mersey Community Hospital
Ms W de-identified
2012 TASCD 316
Stephen Carey 12-10-2012 Global Hypoglycaemic Brain Injury, Insulin Overdose
Muirhead, Samantha
2012 TASCD 142
Glenn Hay 09-05-2012 Multiple Stab Wounds, Strangulation,
Munnings, Helen
2012 TASCD 138
Robert Pearce 14-06-2012 Inquest, Missing Person
Murray, Xavier
2011 TASCD 306
Rod Chandler 29-08-2011 Hypoxic/Ischaemic Brain Damage, Asphyxia, Paediatric Assistance, Multiple Births
Myer Fire
2009 TASCD 239
Christopher Webster 14-08-2009 Myer Fire, Reportable, Liverpool Street Hobart, Coroners Recommendations
Na Champassak, Luc Ryan
2010 TASCD 55
Rod Chandler 01-02-2010 SUDI, Hobart Private, Respiratory Distress
Newell, Christopher James
2011 TASCD 399
Glenn Hay 31-10-2011 Multiple Drug Toxicity, Steroid Dependent, RHH
Newton, Blake Marcus
2012 TASCD 094
Christopher Webster 13-04-2012 Overdose, Coroner, Depression, Combined Drug Intoxication, RHH
Nichols, Ian David
2012 TASCD 231
Glenn Hay 15-07-2021 Lake Sorell, Missing Person, Mental Illness, Vietnam Veterans Association.
Nichols, Timothy David
2010 TASCD 387
Rod Chandler 20-09-2009 Hanging, LGH, Coroners Recommendations
Palecek, Anna
2011 TASCD 112
Rod Chandler 21-04-2011 Blunt Traumatic Injuries, Pedestrian, Struck by Car
Parremore, Ricky James
2010 TASCD 371
Stephen Carey 04-10-2022 Saltwater Drowning, Submerged Car, Mixed Drug Intoxication
Parsell, Sadie Olive
2011 TASCD 127
Stephen Carey 03-05-2011 Barrington Lodge, Fall, Elderly, Ambulance Tasmania, RHH
Pearce, Evan Redmond
2008 TASCD 116
Glenn Hay 02-05-2008 Motor Vehicle Accident, 3 Vehicles, Alcohol, THC
Pearce, Sidney Thomas
2008 TASCD 140
Don Jones 21-05-2008 Miner, Rock Fall,
Pegg, William Edward
2012 TASCD 134
Christopher Webster 30-04-2012 Motor Vehicle Accident, Workplace Standards, All Earth Works Pty Ltd
Pohlner, Kenneth Kim
2012 TASCD 144
Olivia McTaggart 21-03-2012 Motor Vehicle Crash, Blunt Traumatic Injuries, Arthur Highway, Coroners Recommendation
Proposch-Quarrell, Frances
2009 TASCD 147
Rod Chandler 22-05-2009 Hospital, surgery, dangers, warning, lab band, weight reduction, hospital, RHH, Hobart Private Hospital, Doctor,
Pugh, Stephen Montague
2007 TASCD 361
Olivia McTaggart 01-01-2016 Murder, Family Violence, Gunshot Wound
Ransley, Shane Allan
2011 TASCD 258
Christopher Webster 21-07-2011 HighRig Crane Hire, Rigger, Motor Vehicle Crash
Rayment, Dennis George
2012 TASCD 079
Glenn Hay 12-01-2012 Warning, Crushing, Tree, Tree Fellers, Hazardous
Renison_Decision_21-5-_08.pdf (PDF File, 1.5 MB)
Renison Bell Tin Mine, Rock Fall, Heemskirk 1670 Level, Coroner's Recommendations
Reynolds, Chrystal
2011 TASCD 249
Olivia McTaggart 15-07-2011 Recommendation, Methadone, Amphetamines, Methadone Programme, Opioid Pharmacotherapy Program Policy.
Rogers, James Tasman
2010 TASCD 278
Stephen Carey 12-07-2010 Acute Ethanol Toxicity, Obesity, Sporting Activity
Roundhill Fatalities - Thorp, Bianca, Keating, Sherilea, Heron, Larissa Anne, Tapson, Claire Helen, Gourley, Bianca
2006 TASCD 213-217
Peter Henric Wilson 01-06-2006 Recommendations, Motor Vehicle Accident, Bass Highway, Burnie, Round Hill Road, DIER
Sallese, Nicola
2012 TASCD 136
Tim Hill 19-04-2012 Older Person, Presumed Deceased, Missing Person
Santamaris, Denis John and Jones, John.pdf (PDF File, 132.5 KB)
2011 TASCD 335-336
Christopher Webster 31-08-2011 White Beach, Fishing, Drowned
Saunders, Hamish.pdf (PDF File, 906.7 KB)
2004 TASCD 503
Ian Matterson 05-11-2004 Workplace Health and Safety Act 1995, DPIWE, Coroner's Recommendations, Drowned, Pedra Branca Island
Scott, Beverley Dawn
2012 TASCD 340
Rod Chandler 30-11-2012 Hypoxic Respiratory Failure, Fall, ED
Shaw, Albert
2010 TASCD 342
Christopher Webster 13-09-2022 Recommendations, Fall, Elderly
Sheriff, John Charles
2012 TASCD 115
Robert Pearce 06-05-2011 Calvary Hospital, Haemoperitoneum, Laparoscopic Hemicolectomy, Caecal Tumour, Complication of Surgery
Shoobridge, Diana Muriel
2012 TASCD 131
Stephen Carey 27-04-2012 Older Person, Combined Drug (propoxyphene, metoclopramide and duloxetine) Intoxication
SIDS - Four Infants - De-identified
2008 TASCD 187-190
Olivia McTaggart 20-05-2008 Coroners Recommendations, SIDS, Alcohol, Co-Sleeping, Smoke, SUDI, Training,
Slack, Bobby Ray
2011 TASCD 387
Stephen Carey 29-09-2011 Bruny Island, Abalone Diver, Shark Attack
Smith, Christine Julie
2012 TASCD 027
Stephen Carey 12-01-2012 Mental Health, Royal Hobart Hospital, Hypoxic Brain Injury
Smith, Neville Robert
2010 TASCD 248
Stephen Carey 25-06-2010 Drowning, Recommendation, Couta Rocks, Arthur River
Snape, Ann
2012 TASCD 026
Stephen Carey 12-01-2012 Elderly Person, Multiple Organ Failure, Fall
Steele, Roger
2011 TASCD 167
Rod Chandler 19-05-2011 Royal Hobart Hospital, RHH, ED, Emergency Department, Protocols, Myocardial Perfusion Scan
Stein, Joshua Phillip
2010 TASCD 418
Don Jones 28-09-2010 Recommendation, Vehicle, 4WD, Snatch Straps, Tow Bar, Recovery Operations
Stewart, Robert Claude
2012 TASCD 194
Robert Pearce 09-05-2012 Multiple Organ Failure, Sepsis, Colon Cancer
Sturgess, Ben Samuel
2011 TASCD 023
Christopher Webster 07-01-2011 Blunt Traumatic Injuries, Pedestrian, Struck by Car, Mixed Drug Intoxication
Szabo, Eric Andrew
2012 TASCD 084
Christopher Webster 29-03-2012 Motor Vehicle Collision, Meadowbank,
Knight, Larry (PDF File, 3.2 MB)
2009 TASCD 25
Rod Chandler 26-02-2009 Inquest, Coronial Recommendations, Beaconsfield Gold Mine
Taylor, Samuel George
2012 TASCD 264
Robert Pearce 31-07-2012 Struck by Car, Fracture of Skull Bone,
Taylor, Zack Wayne
2012 TASCD 369
Christopher Webster 20-12-2012 Talcum Powder, 8 months, Abused Child
Templer, Bryan Eldred
2011 TASCD 414
Stephen Carey 19-12-2011 Coroner's Recommendations, Smoking, Elderly, Fire, Oxygen, Fire Training, Smoking Policy, Older Persons
The Deceased - de-identified
2006 TASCD 132
Christopher Webster 05-04-2006 Motor Vehicle Accident, Recommendations
The Deceased - de-identified
2005 TASCD 428
Rod Chandler 01-11-2005 Skateboard, Accident, Alcohol
The Deceased - de-identified
2006 TASCD 104
Stephen Carey 01-01-2016 Hospital, Recommendations, RHH, Overdose, Drugs, Osteoporosis, Self-Administered, Coroner's Recommendations, Intentional Overdose
The Deceased - de-identified
2007 TASCD 163
Christopher Webster 11-05-2007 Aged care, Nursing Home, Wheelchair, Maintenance, Mobility, Duty of Care, Elderly Person, Wheelchair
The Deceased - de-identified
2005 TASCD 99
Ian Matterson 04-03-2005 COAD, Methadone, Drugs, Trimipramine, Medication, Overdose
The Deceased - de-identified
2006 TASCD 414
Stephen Carey 20-10-2006 Drowning, Kings Pier Marina
The Deceased - de-identified
2006 TASCD 16
Ian Matterson 03-01-2006 Alcohol, Student, Fall, University, Head Injury, Intoxicated, Responsible Serving of Alcohol
The Deceased - de-identified
2007 TASCD 061
Stephen Carey 06-02-2007 Recommendations, Drug Use, Medical Care, Methadone
The Deceased - de-identified
2007 TASCD 004
Olivia McTaggart 01-02-2007 Recommendations, Fall, Scaffolding Work, Maintenance
The Deceased - Motorcycle Accident
2011 TASCD 257
Stephen Carey 27-07-2011 Motorcyle Crash, Blunt Force, Motorcyclist/Motorcycle Rider, Motorised Two or Three Wheeled Vehicle
Tipper, Pamela Mary
2011 TASCD 343
Stephen Carey 23-09-2011 Alcoholism, Asphyxia, Choking
Trezona, David Kenneth
2012 TASCD 312
Stephen Carey 30-09-2012 Multiple Blunt Traumatic Injuries, Motorcycle Crash, Loss of Control
Triffett, Nicholas Edwin
2010 TASCD 422
Stephen Carey 17-11-2010 Saltwater Drowning, Boating Accident
Trotter, Monty William
2010 TASCD 25
Timothy Hill 20-01-2010 Safety, Recommendation, ANL, Workplace, Health, Compliance Audits, Rail Safety Regulator, Wagon
Valentine, David Francis
2011 TASCD 043
Stephen Carey 01-02-2011 Self-Inflicted, Mental Illness
Waite, Raymond Frederick
2011 TASCD 132
Rod Chandler 16-05-2011 Recommendations, RHH, Royal Hobart Hospital, Fall, Department of Emergency, Elderly Persons
Waugh, Claire Louise
2011 TASCD 319
Rod Chandler 29-09-2011 Inquest, LGH, Continuing Care Order, Illicit Drug, Coroners Recommendations
Wiggins, Charles Thomas
2011 TASCD 206
Glenn Hay 16-06-2011 Recommendations, Logging, Gunns, Work Place Standards, WST, Forestry Tasmania.
Willcox, Clint Anthony
2011 TASCD 114
Robert Pearce 08-03-2011 Motorcycle Crash, Blunt Trauma
Fisher, William (PDF File, 402.8 KB)
2001 TASCD 48
Peter Dixon 29-08-2001 Body in fountain, Burnt body, Open Finding, Undetermined Death.
Williams, Claire Anne
2011 TASCD 030
Rod Chandler 28-01-2011 Stroke, Chronic Renal Failure, ED, RHH, Coroner's Recommendation
Williams, Jeffrey Ray
2011 TASCD 449
Glenn Hay 11-10-2011 Workplace Standards, Unsafe Work practices, Tractor
Williams, Sher-Ron Louise
2011 TASCD 070
Stephen Carey 03-03-2011 Blunt Traumatic Injuries, Pedestrian, Struck by a Utility Vehicle,
Woolley, Raelene Judith
2011 TASCD 29
Stephen Carey 13-01-2011 Haemoperitoneum/Retroperitoneal Haematoma, RHH, Coroners Recommendation
Work Related Traffic - De-identified
2010 TASCD 248
Don Jones 21-05-2010 Findings, Coroner, Recommendations, Magistrate, Truck, Work, Irishtown, Crash, Bolt
Wrathall, Andrea Lee
2007 TASCD 360
Olivia McTaggart 02-11-2007 Gunshot wounds, Restraint Order, Family Violence
Young, Jennifer Betty
2011 TASCD 042
Stephen Carey 31-01-2011 Combined Drug Intoxication, Drug Dependency