Coronial findings - 2014 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.
| Title & TASCD number | Keyword |
|---|---|
| Zimmerman, Manfred (PDF, 172.9 KB) 2016 TASCD 091 |
Transport & Traffic Related, Motor Vehicle Crash, driver, sole occupant, Royal Hobart Hospital, palliative, terminal lung cancer, emphysema |
| Youth Suicide (PDF, 819.6 KB) 2015 TASCD 298,299,300,301,302,303 |
|
| Young, Dylan Broderick Ernest (PDF, 247.2 KB) 2017 TASCD 328 |
Domestic Incident, tree felling, chainsaw, poor tree felling technique, unsafe use of chainsaws, wood cutting, chainsaw training, recommendations regarding chainsaws |
| Wright, Mark Norman (PDF, 272.7 KB) 2017 TASCD 145 |
Transport & Traffic related, motor vehicle crash, Drugs & Alcohol |
| Woulleman-Jarvis, Anne Maree 2017 TASCD 188.pdf (PDF, 349.4 KB) 2017 TASCD 188 |
hospital, head injury, CT scan, fall, standing height, subacute subdural haematoma, closed head injury, |
| Woolley, Paul James (PDF, 497.0 KB) 2018 TASCD 40 |
Royal Hobart Hospital, RHH, hospital death, deep vein thrombus, heparin-induced thrombocytopenia, HITS, sleep apnoea, complications of medical care, adverse medical affects, physical health, CPAP machine, failure in care. |
| Woods, Brian Oakley (PDF, 276.7 KB) 2017 TASCD 521 |
motorcycle crash, motorbike crash, transport and traffic related, speeding, Black Charlie's Opening, Tasman Highway, excessive spped, double white lines, blind corner. |
| Wilton, Meagan & Eyles, Benjamin (PDF, 187.4 KB) 2015 TASCD 436, 437 |
Homicide & Assault, Intentional Self-Harm, domestic violence, breakup, access to child, firearm seizure, unsafe storage of weapons, police intervention |
| Willox, Brian William (PDF, 162.0 KB) 2017 TASCD 408 |
fracture neck, fall standing height, |
| Williams, Leigh John (PDF, 160.9 KB) 2016 TASCD 065 |
Transport & Traffic Related, Motor Vehicle Crash, single vehicle, driver, sole occupant, alcohol, speed, mobile phone |
| Williams, Michael David (PDF, 399.0 KB) 2018 TASCD 475 |
homicide, murder, assault, head injury, Stainforth Court, Cornelian Bay |
| Williams, Brett (PDF, 370.1 KB) 2018 TASCD 143 |
murder, homicide, stabbing, Eggs and Bacon Bay, |
| Fisher, William (PDF, 402.8 KB) 2001 TASCD 48 |
body in fountain, burnt body, open finding, undetermined death. |
| White, Paul Marcus (PDF, 230.0 KB) 2016 TASCD 312 |
Drugs & Alcohol, Leisure Activity, football, methylamphetamine intoxication, heart disease, intravenous drug use |
| Westcott, Barbara (PDF, 611.4 KB) 2016 TASCD 286 |
Aged Care, Older Persons, inadequate care, Vaucluse Gardens, entrapment, first aid training, bed pole, KA524, records, Department of Health and Ageing, checks |
| Weir, Mary (PDF, 165.3 KB) 2015 TASCD 368 |
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 |
| Weily, Richard Maurice (PDF, 322.5 KB) 2016 TASCD 323 |
Older Persons, Physical Health, Aged Care, Death in Care, Mental Illness & Health, Huon Eldercare, Roy Fagan Centre, Fall, pneumonia, hip fracture, heart disease, dementia, Parkinson's disease, inadequate care, falls assessment, haloperidol, quetiapine, amiodarone |
| Weedon, Jackson Nate John Daniel (PDF, 467.0 KB) 2018 TASCD 153 |
transport and traffic related, motorbike crash, motorcycle crash, single vehicle crash, speeding |
| Weber, Kevin Howard (PDF, 365.1 KB) 2018 TASCD 306 |
falls, leisure activity, fall striking head, subdural haematoma, hand rail, fall from steps. |
| Webb, Shanelle Jean (PDF, 497.5 KB) 2018 TASCD 493 |
SUDEP, Sudden unexpected death in epilepsy, night-time epileptic seizure, Oak Possability. |
| Wang, Yu Qian (PDF, 262.9 KB) 2017 TASCD 548 |
motor vehicle crash, transport and traffic related, lost control of vehicle, overtaking, collision with tree, inexperienced driver, driver inexperience, seatbelt, failure to wear seatbelt, incorrectly fastened seatbelt. |
| Walsh, Chloe Michelle (PDF, 399.4 KB) 2018 TASCD 439 |
motor vehicle accident, single vehicle crash, transport and traffic related, Strahan, alcohol and drugs, cannabis, failure to wear a seatbelt, unroadworthy vehicle, learner driver, passenger, dangerous driving, section 167A Criminal Code Act 1924 (Tas) |
| Trent Walliker (PDF, 282.3 KB) 2017 TASCD 420 Trent Walliker |
blunt force trauma, lower chest area, single vehicle accident, motorcycle accident |
| WAGG, Christopher William 2014 TASCD 199 |
Findings, Coronial, workplace, factory plant, paid work, zinc works, brain damage, mechanical asphyxia, neck compression, trapped, cherry picker, stairwell |
| Vince, Brock (PDF, 275.4 KB) 2018 TASCD 99 |
intentional self harm, St Helens Private Hospital, seroquel, quetiapine, drowning, bath, drugs & alcohol, re-examined findings |
| Van Galen, Esther Grace (PDF, 470.1 KB) 2018 TASCD 460 |
Child & Infant Death, baby death, overlay, bed sharing, SIDS, sudden infant death, |
| Towns, Martin John (PDF, 212.4 KB) 2018 TASCD 59 |
drugs and alcohol, fall, subdural haematoma |
| Thorpe, Gloria Theresa (PDF, 205.9 KB) 2016 TASCD 099 |
Motor Vehicle Accident, Bass Highway, Rocky Cape, Multiple blunt traumatic injuries |
| Thompson, Ian Graham (PDF, 608.4 KB) 2018 TASCD 73 |
work related, workplace death, Tassal, fishing vessel, Efishent, Worksafe Tasmania, capstan, accident |
| Tetley, Andrew Jason (PDF, 166.2 KB) 2015 TASCD 371 |
Water Related, Drowning, Marine Fatality, missing person, disappearance, fisherman, fishing, Falmouth, PFD, lifejacket, dinghy, fall, boarding, dark |
| TETLEY, Barry Lindsay 2014 TASCD 246 |
sepsis, pneumonia, hospital death, Royal Hobart Hospital, Coronial finding, Tetley. |
| Teressa Beswick (PDF, 340.1 KB) 2016 TASCD 261 |
Adverse Medical Effects, Mersey Community Hospital, terminal cervical cancer, pneumonia, pain management, morphine overdose |
| Taylor, Michael John (PDF, 342.2 KB) 2018 TASCD 488 |
drugs and alcohol, combined drug intoxication, prescription medications, methadone, alprazolam, injecting medications intended to be taken orally, coroner's recommendations, misuse of prescription medication, Pharmaceutical Services Branch |
| Tate, Magella Luisa Faye (PDF, 160.6 KB) 2017 TASCD 250 |
Transport & Traffic Related, motor vehicle crash, motor vehicle accident, provisional licence, P1 licence, fail to negotiate bend, lost control of vehicle, gravel, over corrected, crash into tree, loss of traction in gravel, inexperienced driver, car crash. |
| Tabor, Pamela Lois and Belinda Ann (PDF, 163.0 KB) 2017 TASCD 403 |
motor vehicle, car crash, head injuries, chest injuries, multiple fatality |
| Swift, John McGregor 2015 TASCD 035 |
Transport & Traffic Related, Older Persons, Physical Health, Motor Vehicle Crash, driver, sole occupant, heart disease, cardiac event |
| Summerfeldt; Ian Patrick.pdf (PDF, 243.7 KB) 2017 TASCD 002 |
hospital, renal failure, perforated gastric ulcer, sepsis, stomach pain, |
| Craig Sullivan Findings (PDF, 549.3 KB) |
|
| Stewart, Justin Blade (PDF, 370.9 KB) 2018 TASCD 029 |
mixed drug toxicity, drugs and alcohol, schizophrenia, mental illness and health, Oxazepam, Quetiapine, Temazepam, Alprazolam, accidental overdose, antipsychotic drugs, |
| Stewart, Eileen Adeline (PDF, 284.7 KB) 2017 TASCD 553 |
long term missing person, |
| Sterling, William John (PDF, 227.3 KB) 2015 TASCD 182 |
Physical Health, Natural Cause Death, lung disease, intravenous drug use, hypertension, cardiovascular disease, hepatitis |
| Stephenson, Jason Scott (PDF, 292.0 KB) 2015 TASCD 225 |
Leisure Activity, Water Related, Physical Health, Drowning, Marine Fatality, scuba diving, diving equipment, age, fitness, obesity, breathlessness, Eddystone Point, cardiac |
| Stefaniw, Gerard Ernest (PDF, 738.2 KB) 2019 TASCD 8 |
death in care, order under the Guardianship and Administration Act 1995, Guardianship and Administration Board, intentional self harm, mental illness and health, Roy Fagan Centre |
| Steer, Michael Allan (PDF, 289.1 KB) 2018 TASCD 316 |
Drugs & Alcohol, mixed drug toxicity, drug seeking, schedule 8 drugs, doctor shopping, quetiapine, codeine, diazepam, fluoxetine, central nervous system depression, prescription medication, drug overdose, Pharmaceutical Services Branch, recommendations schedule 4 drugs, recommendations Poisons Act, |
| Stacey, Leanne Maree (PDF, 162.5 KB) 2016 TASCD 044 |
Drugs & Alcohol, Physical Health, Misadventure, heart disease, mixed drug toxicity, morphine, benzodiazepine, dothiepin, intravenous drug use |
| Spanney, Kenneth David (PDF, 242.0 KB) 2017 TASCD 327 |
Domestic Incident, tree felling, chainsaw, poor tree felling technique, unsafe use of chainsaws, wood cutting, chainsaw training, recommendations regarding chainsaws |
| Smith, Kimberley Dale (PDF, 172.6 KB) 2015 TASCD 217 |
Water Related, Drowning, Marine Fatality, dinghy, missing person, hypothermia, Chasm Creek, Heybridge, Blythe River |
| Smith, James Maurice (PDF, 320.5 KB) 2017 TASCD 202 |
Hospital, haemopericardium, pericardial tamponade, aortic dissection, incorrect diagnosis, misdiagnosis, poor medical practice, inadequate diagnosis, inadequate hospital care, ischaemia, surgical delay, cardiac arrest, |
| Smith, Nicky Glenn (PDF, 437.8 KB) 2018 TASCD 396 |
traffic and transport related, motor vehicle crash, single vehicle crash, alcohol and drugs, drink driving, intoxication, failure to wear seatbelt, unroadworthy vehicle, Lake Leake Highway |
| Smith, Molly Jessie (PDF, 761.7 KB) 2017 TASCD 444 |
death in care, Roy Fagan Centre, mental illness and health, GP Assist, misdiagnosis, pneumonia, pyelonephritis. |
| Smart, Joshua David (PDF, 197.7 KB) 2016 TASCD 038 |
exsaunguination/ hypovolaemic arrest, bleed from severed artery |
| Slater, Timothy Guy (PDF, 261.5 KB) 2015 TASCD 349 |
Undetermined, missing person, Fern Tree, Mental Illness & Health, Drugs & Alcohol, bushwalker |
| Slabkowski,_Mary.pdf (PDF, 82.7 KB) 2017 TASCD 64 |
Older person, fall, subarachnoid haemorrhage, closed head injury, in-home care, LGH, Anglicare Tasmania |
| Simpson, Peter Lawrence (PDF, 359.8 KB) 2017 TASCD 514 |
drugs & alcohol, mixed prescription drug toxicity, methadone, diazepam, promethazine |
| Simpson, Bryan Thomas (PDF, 369.3 KB) 2018 TASCD 282 |
transport and traffic related, motor cycle crash, recommended speed, advisory speed sign. |
| Simmons, Lawrence John (PDF, 278.8 KB) 2018 TASCD 212 |
undetermined cause of death, disappearance, long term missing person, |
| Sheehan, Leon Dennis (PDF, 371.6 KB) 2018 TASCD 444 |
motor vehicle crash, transport and traffic related, positional asphyxia, drink driving, driving whilst alcohol in body, exceed 0.05, driving affected by alcohol. |
| Sheedy, Barbara (PDF, 166.9 KB) 2017 TASCD 182 |
Launceston General Hospital, fall, subdural haemorrhage, uncal herniation |
| Shayler-Appleton, Gemma Louise (PDF, 371.5 KB) 2018 TASCD 239 |
transport and traffic related, motor vehicle accident, pedestrian |
| Scott, Douglas Ian (PDF, 368.8 KB) 2018 TASCD 132 |
smoking, emphysema, oxygen concentrator, oxygen tubes, smoking using oxygen concentrator, oxygen deprivation, carbon dioxide toxicity, ignite oxygen, recommendation regarding medical oxygen concentrators. |
| Scheffer, Yolande (PDF, 87.7 KB) 2017 TASCD 62 |
Water related, drowning, Somerset beach, swimming, surf life saving, NWRH |
| Sansom, Ann Margaret (PDF, 224.0 KB) 2015 TASCD 224 |
Adverse Medical Effects, Physical Health, Royal Hobart Hospital, subarachnoid haemorrhage, perforation, aneurysm, endovascular coiling, complication, diabetes, cirrhosis |
| Mr S (PDF, 169.6 KB) 2015 TASCD 216 |
Mental Illness & Health, Work Related, Drug Overdose, tramadol, opiate pain relief, chronic pain, Mt Lyall Mine, colleagues, anti-depressant, workplace deaths |
| Mr S (PDF, 261.4 KB) 2015 TASCD 242 |
Intentional Self-Harm, Suicide, Transport & Traffic Related, Motor Vehicle Crash, driver, single occupant, tree, Powranna |
| Russell; Patricia Joy RC signed 26-3-18.pdf (PDF, 380.3 KB) 2018 TASCD 141 |
Health care, hospital, empyema, sepsis, complicating oesophageal perforation, diabetes, obesity, atherosclerotic coronary vascular disease |
| Rushton, Ethan Charles & Kearnes, Christopher Peter (PDF, 131.0 KB) 2017 TASCD 440 and 441 |
Transport & Traffic related, motorcycle accident, speeding, drug & alcohol related |
| Ruling and Reasons on Objection to Admissibility of Evidence - Gleeson, Lucas and Welsh (PDF, 371.6 KB) |
Copper Mines Tasmania, Barminco, mine deaths, ruling on admissibility of evidence, Mount Lyell mine, Queenstown mine, work place deaths, work related, location, |
| Ross, Ronald Charles (PDF, 273.6 KB) 2017 TASCD 535 |
Undetermined cause of death |
| Ronald Grundy, Aaron Jeffrey and Ian Smith.pdf (PDF, 490.8 KB) 2018 TASCD 375 376 377 |
Law Enforcement, death in custody, death in care, natural causes death, Wilfred Lopes Centre, Risdon Prison, Section 28(5) Coroners Act. |
| Rogers, Maureen Ann (PDF, 241.7 KB) 2015 TASCD 190 |
Older Persons, Physical Health, Launceston General Hospital, misdiagnosis, gastritis, aortic dissection, cardiac tamponade, CT scan |
| Rock, Scott 2015 TASCD 002 |
Homicide & Assault, Drugs & Alcohol, head injuries |
| Roberts-Burton, Blaze Christian (PDF, 180.5 KB) 2017 TASCD 130 |
alcohol, drugs, intoxication, run over by truck, body on highway, diazepam, temazepam, alprazolam, methylamphetamine, |
| Roberts, Nigel Douglas (PDF, 734.5 KB) 2019 TASCD 9 |
death in care, Mental Health Act 2013, mixed prescription drug sedation, clozapine, olanzapine, Spencer Clinic, Burnie, North West Regional Hospital, Karingal Nursing Home, mental illness and health, coroner's recommendations |
| Payton, Robert John (PDF, 179.5 KB) 2015 TASCD 76 |
Transport & Traffic Related, Motor Vehicle Crash, Bass Highway, Wiltshire, motor scooter, head-on, negligent driving, overtaking, proper lookout |
| Rivelli, Andrea (PDF, 214.1 KB) 2015 TASCD 372 |
Intentional Self-Harm, Mental Illness & Health, Suicide, tourist, traveller, meditation |
| Richardson, Kenneth Charles (PDF, 228.8 KB) 2016 TASCD 369 |
Physical Health, Older Persons, Adverse Medical Effects, Drug Overdose, Royal Hobart Hospital, digoxin toxicity, Digibind, heart disease, renal disease, congestive cardiac failure, mitral regurgitation, atrial fibrillation, blood testing, monitoring |
| Renison_Decision_21-5-_08.pdf (PDF, 1.5 MB) |
|
| Reardon, Jean May (PDF, 299.1 KB) 2016 TASCD 253 |
Older persons, Physical Health, Royal Hobart Hospital, sepsis, pressure ulcer, bedridden |
| Reaney, Leigh Anthony (PDF, 432.9 KB) 2018 TASCD 071 |
blunt force, ground, fall, balcony, roof |
| Mr R (PDF, 356.3 KB) 2015 TASCD 422 |
Drugs & Alcohol, doxepin, mianserin, fluoxetine, combined drug intoxication, self-medication, depression, hypertensive heart disease |
| Quad bike related deaths of Heather Dawn Richardson, Jan Severin Jensen, Kendall Russell Bonney, Vicki Mavis Percy, Jay Randall Forsyth, Jabob Graham Green and Roger Maxwell Larner (PDF, 658.9 KB) 2017 TASCD 329 330 331 332 333 334 and 335 |
quad bikes, ATV, Leisure Activity, Transport & Traffic Related, quad bike safety, quad bike crash, quad bike accident, quad bike rollover, crushing, brain injury, WorkSafe Tasmania, quad bike fatality, quad bike deaths. |
| Powell, Arthur John (PDF, 164.3 KB) 2016 TASCD 370 |
Adverse Medical Effects, Physical Health, Older Persons, Aged Care, Hobart Private Hospital, Royal Hobart Hospital, sepsis, parotid gland, perforated diverticulum, wound infection, discharge, inadequate care |
| Plummer, Samuel Anthony (PDF, 348.4 KB) 2017 TASCD 469 |
sudden unexpected death in a person with epilepsy (SUDEP) |
| Plowright, Ben Wara 2017 TASCD 159 (PDF, 171.4 KB) 2017 TASCD 159 |
Drowning, water, river, threat to breathing, |
| Pitchford, Rhiannon Pearl Vanessa (PDF, 397.7 KB) 2018 TASCD 511 |
child & infant death, undetermined cause, SUDI, sudden infant death whilst bed sharing, co-sleeping, unsafe sleeping environment, Child Protection Services (now Child Safety Services), Child and Youth Services, unborn baby notification, Child Protection response and reforms, coroner's recommendations |
| Pinner, Liam Christopher (PDF, 370.0 KB) 2018 TASCD 126 |
motor vehicle crash, motorcycle crash, loss control of motorcycle, motorbike crash, |
| Pel, Tracie Ann and Pel, Michael Geraddus (PDF, 371.1 KB) 2017 TASCD 393 & 394 |
motorcycle, passenger, neck injuries, chest injuries, abdominal injuries, round bale |
| Pedersen, Jonas Havskov (PDF, 235.0 KB) 2015 TASCD 239 |
Misadventure, Drugs & Alcohol, poppy tea, morphine intoxication, poppy fields, opium poppies |
| Peart, Alexander Alfred and Ruby Rose (PDF, 395.5 KB) 2018 TASCD 390 and 391 |
transport and traffic related, motor vehicle accident, child and infant death, Sorell causeway |
| Flockhart, Alexander Michael & Pauly, Damian Kenneth (PDF, 320.1 KB) 2017 TASCD 204 & 205 |
Coronial, violent, homicide, gunshot wounds, stab wound, firearms, |
| Patrick, Robert David (PDF, 368.9 KB) 2018 TASCD 398 |
West Coast District Hospital, medical related, abdominal aortic aneurysm |
| Patmore, Jason (PDF, 378.0 KB) 2018 TASCD 088 |
haemorrhagic stroke complicating anticoagulation, intravenous antibiotic therapy, deep vein thrombus, hospital, traumatic brain injury, bicycle crash, |
| Patmore, Jason - Decision as to Inquest.pdf (PDF, 417.9 KB) |
decision not to inquest, |
| Pasinski, Alexander (PDF, 273.0 KB) 2016 TASCD 285 |
Mental Illness & Health, Death in Care, Launceston General Hospital, asphyxia, choking, Amitriptyline, Paliperidone, Chlorpromazine, Magill forceps, soft diet, schizophrenia |
| Paino, Sarah (PDF, 169.8 KB) 2017 TASCD 321 |
Sarah Paino, Transport & Traffic Related, motor vehicle crash, Davey Street motor vehicle crash, fatal crash, stolen car, youth driver, unborn baby saved, car crash, manslaughter, |
| Osborn, James Lee (PDF, 379.8 KB) 2018 TASCD 230 |
Mental Illness & Health, Intentional Self-Harm, drowning, jump off jetty with weight, false report of missing person. |
| Orton-Tracey, Jim (PDF, 399.8 KB) 2018 TASCD 311 |
pulmonary embolism, immobilised lower leg, 'moon boot', anticoagulation |
| Ordonez, Genaro Lotero (PDF, 178.1 KB) 2016 TASCD 041 |
Water Related, Leisure Activity, Drowning, Swimcart Beach, Binalong Bay, tourist, swim, rip, head injury, signs |
| Oosterloo, Jane (PDF, 371.8 KB) 2018 TASCD 364 |
hospital, medical, haemopericardium, surgical, Launceston General Hospital |
| O'Day, Dennis James 2015 TASCD 109 |
Suicide, Intentional Self-Harm, Youth, Tasman Bridge, missing person, relationship breakdown |
| Norris Freda Kate (PDF, 167.0 KB) 2015 TASCD 223 |
Undetermined, Missing Person, |
| Noble, Murray (PDF, 168.7 KB) 2017 TASCD 89 |
house fire, combustion, asphyxia, smoke inhalation, inhalation of products of combustion, |
| Newett, Margaret Wynne (PDF, 267.5 KB) 2016 TASCD 150 |
Ischaemic heart disease, calcific aortic valve sclerosis, hospital death, unsatisfactory treatment. |
| Nettlefold, Carmel (PDF, 164.3 KB) 2016 TASCD 084 |
Older Person, Homicide & Assault, head injury, stranger, manslaughter, New Town Road |
| Pearn Natalia (PDF, 254.9 KB) 2015 TASCD 264 |
Motor Vehicle Crash, Transport & Traffic Related, negligent driving, safety barrier, Midland Highway, Tim Ellis |
| Nancarrow, Maurice Cecil (PDF, 242.3 KB) 2017 TASCD 241 |
RHH, Hospital, Royal Hobart Hobart, misdiagnosis, complication of medical care, aspiration pneumonia, ileus, aspiration of gastric contents, failure to diagnose, renal failure, large bladder, bladder neck obstruction, |
| Mundy, Kaylene Louise (PDF, 182.9 KB) 2015 TASCD 306 |
Drugs & Alcohol, Misadventure, Alprazolam, Xanax, crushed tablets, intravenous drug use, heart failure, Tasmanian Alcohol & Drug Service |
| Muller Shar Marie (PDF, 168.0 KB) 2015 TASCD 304 |
Intentional Self-Harm, Suicide, missing person, Tasman Bridge, Mental Illness & Health |
| Mrs W (PDF, 163.2 KB) 2015 TASCD 318/15 |
Weather Related, Domestic Incident, falling tree, wind |
| Mrs F (PDF, 379.1 KB) 2018 TASCD 62 |
Hospital, Aged Care, Falls, Mental Illness and Health, Older Persons, Physical Health, fracture of neck of femur, nursing home, RHH, Royal Hobart Hospital, death in medical setting, falls risk. |
| Mr S.pdf (PDF, 162.7 KB) 2016 TASCD 377 |
suicide, hanging, asphyxia, mental health, depression, mental health ward, Royal Hobart Hospital |
| Mr P (PDF, 91.3 KB) 2016 TASCD 254 |
Adverse Medical Effects, Physical Health, Royal Hobart Hospital, small bowel obstruction, adhesions, misdiagnosis, inadequate care |
| Mr JC 105 TASAD 2017.pdf (PDF, 172.4 KB) 2017 TASCD 105 |
Thermal burns, single motorbike accident, |
| Mr F (PDF, 154.0 KB) 2016 TASCD 149 |
scooter accident, skate park, laceration of heart, |
| Mr D (PDF, 209.7 KB) 2016 TASCD 372 |
Drugs & Alcohol, methylamphetamine |
| Mr. K - 2014 TASCD 393 |
|
| Mr M (PDF, 404.6 KB) 2018 TASCD 025 |
Adverse Medical Effects, Royal Hobart Hospital, RHH, thrombotic stroke, thrombus, hypertensive cardiovascular disease, emphysema, Launceston General Hospital, LGH, mistreatment, misdiagnosis, North West Regional Hospital, standard of care, recommendations for hospitals. |
| Mr T - 2013 TASCD 438 |
Findings, Coronial Division, Magistrates Court of Tasmania,motor cycle accident, cranial fractures, |
| Mr T 2015 TASCD 090 |
Domestic Incident, Domestic Accident, mechanic, car, motor vehicle, trolley jack, support stands, jack stands, car stands |
| Mr G 2015 TASCD 031 |
Mental Illness & Health, Death in Care, Royal Hobart Hospital, treatment order, schizophrenia, chest pain, cardiovascular disease, cardiac arrest |
| Mr D 2015 TASCD 069 |
suicide, exhaust fumes, Tasmania death |
| Moylan, Mark David (PDF, 222.0 KB) 2016 TASCD 195 |
Water Related, Leisure Activity, Marine Fatality, Drowning, Drugs & Alcohol, Mental Illness & Health, prescription, Tamar River, Gravelly Beach marina, dinghy, diazepam, missing person, PFD |
| Morris, Audrey Anne (PDF, 374.9 KB) 2018 TASCD 237 |
fire related, house fire, wood heater, smoke inhalation |
| Mordha, Debra Christine (PDF, 162.8 KB) 2017 TASCD 017 |
drug toxicity, overdose, prescription medication, tramadol, amitriptyline, venlafaxine, diazepam. |
| Monson, Troy Colin; Michael, Robin and Mitchell, Scott Clifford (PDF, 922.8 KB) 2017 TASCD 253, 254 and 255 |
Deaths in Custody, death in custody, hanging, prison, Risdon Prison, prison van, seatbelt, Tasmania Police, Prison Health Care, prison systems, suicide, jail, gaol, Law Enforcement, prison cell, prisoner escort van, mental health. |
| Mitchell, Kenneth Hudson (PDF, 243.4 KB) 2017 TASCD 326 |
Domestic Incident, tree felling, chainsaw, poor tree felling techinique, unsafe use of chainsaws, wood cutting, chainsaw training, recommendations regarding chainsaws |
| Miss N (PDF, 235.7 KB) 2013 TASCD 347 |
hanging, suicide, anorexia |
| Miller, Melinda Shirley (PDF, 561.9 KB) 2018 TASCD 298 |
mental illness and health, Clozapine, Olanzapine, Community Treatment Order, Mental Health Act, natural cause death, coroner's recommendations |
| Kerry Michael (PDF, 374.1 KB) 2018 TASCD 168 |
homicide, murder, weapon, location, homicide and assault, Mount Roland, struck by rock. |
| McManus, Pamela (PDF, 208.1 KB) 2015 TASCD 427 |
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 |
| McKenzie, Alan John (PDF, 538.9 KB) 2018 TASCD 499 |
Coronial, Coroner, heart failure secondary to ischaemic heart disease, arrhythmia, fall, cervical neck fractures, nursing home |
| McDougall, Kirsten Web (PDF, 168.4 KB) 2016 TASCD 211 |
Transport & Traffic Related, Motor Vehicle Crash, passenger, single vehicle, traumatic brain injury, aspiration pneumonia, Midland Highway, fatigue, fell asleep |
| McDermott, Janice Faye (PDF, 165.3 KB) 2016 TASCD 124 |
Transport & Traffic Related, train, level crossing, pedestrian, Box Hill Road, Claremont |
| McConnon, Desmond Keith (PDF, 159.6 KB) 2016 TASCD 406 |
Domestic Incident, Older Persons, fall, tree, trimming branches, safety equipment, harness, gardener |
| McCauley, Terence Bernard (PDF, 173.0 KB) 2015 TASCD 321 |
Transport & Traffic Related, Motor Vehicle Crash, Motorcycle, negligent driving causing death, overtaking, following distance, lookout, head-on collision, Arthur Highway, Copping |
| McCallum, William 2015 TASCD 085 |
death, drowning, dover, hypothermia, kayak, immersion |
| McCall, Pamela (PDF, 318.8 KB) 2017 TASCD 173 |
prescription medication, overdose, prescribing, panadeine forte, mixed drug and alcohol toxicity, paracentamol, propranolol, mental health issue. |
| MC (PDF, 363.0 KB) 2018 TASCD 108 |
Drugs & Alcohol, Misadventure, combined drug intoxication, drug overdose, self-medicate, Mental Illness & Health, doctor shopping, opioid medication, drug-seeking behaviour, schedule 8 drugs, U-$7700, mixed drug toxicity. |
| MB (PDF, 458.8 KB) 2018 TASCD 241 |
drug overdose, tramadol, alprazolam, drugs & alcohol, mental illness & health, drug toxicity, sharing prescription drugs, supply prescription drug to another, drug interaction, sharing restricted medications. |
| Mattathyahu, Judah (PDF, 415.7 KB) 2015 TASCD 286 |
Homicide & Assault, missing person, affair, |
| Marshall, Donald Joseph (PDF, 180.8 KB) 2016 TASCD 047 |
Water Related, Older Persons, Intentional Self-Harm, Geographic, Badger Island, Bass Strait, EPIRB, coordination, search |
| Marriott, Molli Margaret Anne (PDF, 374.2 KB) 2018 TASCD 42 |
Motor vehicle accident, traffic and transport related, child unrestrained, drugs and alcohol, learner driver |
| Whittle, Marion Olive 2017 TASCD 114 (PDF, 167.0 KB) 2017 TASCD 114 |
motor vehicle crash, cardiogenic shock, tricuspid regurgitation, Royal Hobart Hospital, corolla Sedan, traumatic papillary muscle laceration, blunt force, transport, vehicle occupant |
| Margaret Nicol Foran (PDF, 214.0 KB) 2016 TASCD 248 |
Older Persons, Homicide & Assault, Mental Illness & Health, strangulation, smothering, asphyxia, schizophrenia, psychotic, mother |
| Mansfield, Doreen (PDF, 842.3 KB) 2019 TASCD 69 |
Coronial, Findings, Inquest, death in care, Royal Hobart Hospital, fall from standing position/ height, complication of left femur fracture |
| Mansell John Ernest (PDF, 400.4 KB) 2016 TASCD 001 |
Leisure Activity, Motor Vehicle Crash, Targa, Porters Bridge Road, Deloraine, competitive sport, driver, racing, rally, CAMS, inexperience, Tarmac Rally Standing Regulations, breathalyse, HANS device, pace note, chicane, beginners briefing |
| Mackozdi, Janet Lois (PDF, 795.0 KB) 2018 TASCD 274 |
older persons, elderly, elder abuse, hypothermia, dementia, coroner's recommendations, domestic incident, Mt Llyod |
| MacKinnon, Ian (PDF, 393.3 KB) 2018 TASCD 423 |
Work Related, tractor, agricultural machine, rock picker, crush by machine, crush by rock picker, farming, farm accident. |
| Macdonald, Shauna Maree (PDF, 161.6 KB) 2017 TASCD 063 |
drug toxicity, pentobarbital, drug use, drug overdose. |
| Lunson, Nathan (PDF, 356.8 KB) 2016 TASCD 407 |
Drugs and alcohol, prescription drug toxicity, mental illness and health |
| Lucas, Troy Dale (PDF, 193.2 KB) 2015 TASCD 120 |
Transport & Traffic Related, Motor Vehicle Crash, Motorcycle, Brooke Street, East Devonport, negligent driving causing death, sun, inattention, head-on collision |
| Lockwood, Shane (PDF, 406.3 KB) 2018 TASCD 52 |
Mental health & illness, intentional self harm, Clozapine, Risperidone, Mental Health Order |
| Little, Neita Jean (PDF, 642.8 KB) 2018 TASCD 97 |
North West Regional Hospital, Older Persons, death after surgery, complications from surgery, Adverse Medical Effects, aspiration pneumonia, small bowel obstruction, gall bladder surgery, haematoma, blood clot. cardiovascular disease, morbid obesity, inadequate care. |
| Lehmann, Matthias (PDF, 444.1 KB) 2017 TASCD 538 |
missing person, possible drowning, Spirit of Tasmania, possible suicide |
| Leemhuis, Leah Maree (PDF, 177.5 KB) 2015 TASCD 243 |
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 |
| Lee, Lester William (PDF, 407.0 KB) 2018 TASCD 286 |
long-term missing person, undetermined cause of death, Devonport |
| Leary, Leslie John (PDF, 183.1 KB) 2015 TASCD 083 |
Drowning, Water Related, Weather Related, rock lobster, dinghy, PFD, certificate of competency |
| Langford, Samuel Peter and Jones, Timothy Peter (PDF, 306.3 KB) 2017 TASCD 316 and 317 |
plane crash, Cape Raoul, Par Avion, Airline of Tasmania, Storm Bay, aircraft crash, Sydney to Hobart, photographing from plane, plane crash into sea, flying too low, fly at low height, low level flying, Civil Aviation Regulations, pilot error, Transport and Traffic Related. |
| Lane, Andrew Brian 2015 TASCD 034 |
Water Related, Weather Related, Leisure Activity, Geographic, Drowning, safety, fishing, dinghy, boat size, forecast, EPRIB, PFD, cold water immersion, Tooms Lake, Oatlands |
| KW (PDF, 371.9 KB) 2018 TASCD 297 |
Drugs & Alcohol, Leisure Activity, Misadventure, exposure to sun, mixed drug toxicity, excessive consumption of alcohol, preventing protective responses to dangerous environmental conditions |
| Kupsch, Jessica Ann (PDF, 256.3 KB) 2016 TASCD 217 |
Homicide & Assault, domestic violence, Penny Royal Hotel, family violence order, Launceston Police, drug treatment order, plea bargain |
| Kulla, Daniel and Macleod, Malcolm (PDF, 237.6 KB) 2016 TASCD 077, 078 |
Mental Illness & Health, Transport & Traffic Related, Motor Vehicle Crash, Motorcycle, Death in Care, abscond, citalopram, olanzapine, cannabis, unregistered, unroadworthy, unlicensed, speed, helmet |
| Kokholm, Dan (PDF, 183.1 KB) 2015 TASCD 324 |
Leisure Activity, Geographic, Mount Ossa, Cradle Mountain, Lake St Clair, national park, bushwalking, mountaineering, climbing, missing person, disappearance, soldier, army, Vietnam, logbook, hut |
| Knight, Milfred Keith (PDF, 449.5 KB) 2018 TASCD 192 |
aircraft crash, light aircraft, Devonport Airport, transport and traffic related, leisure activity |
| Kingston, Neil Robert (PDF, 142.9 KB) 2017 TASCD 439 |
Tree felling, chainsaw, domestic accident, no helmet, Coroner's recommendations |
| King, David John (PDF, 449.0 KB) 2018 TASCD 091 |
Royal Hobart Hospital, RHH, aspiration pneumonia, acquired brain injury, unwitnessed fall, group home, alcohol, alcohol via Percutaneous Endoscopic Gastrostomy, Drugs & Alcohol, Falls, Physical Health. |
| Mr K (PDF, 173.1 KB) 2016 TASCD 006 |
Transport & Traffic Related, Motor Vehicle Crash, Motorcycle, Youth, learner, inexperience, pillion passenger |
| Jones, Tristan Adam (PDF, 522.4 KB) 2018 TASCD 425 |
subarachnoid haemorrhage, middle cerebral artery rupture, hospital policies, hospital transfers. |
| Jones, Gweneth Elsie (PDF, 373.1 KB) 2018 TASCD 399 |
Coronial, findings, blunt force, accidental fall, unwitnessed fall, lung bronchopneumonia, small dilstal pulmonary emboli, |
| Jones, Thomas Elvet 2015 TASCD 058 |
Transport & Traffic Related, Water Related, Fall, Location, Motor Vehicle Crash, Tasman Bridge collapse |
| Johnson, Damian (PDF, 187.6 KB) 2016 TASCD 417 |
Mercury Passage, Triabunna, Water Related, Leisure Related, Animal, great white shark, diver, scallops, Tasmania Police, Tas Maritime Radio |
| Jock, Chuak John (PDF, 275.1 KB) 2017 TASCD 546 |
Transport and Traffic Related, motor vehicle crash, motor vehicle accident, bald tyres, Channel Highway, driver error, loss of control, damp road, wet road, gravel verge. |
| Jin, Kang (PDF, 242.3 KB) 2017 TASCD 150 |
Hypothermia, exposure, Overland Track, Cradle Mountain, Parks and Wildlife Service, tourist, unprepared bushwalker, search and rescue, coronial recommendations |
| Jarman, Andrew John (PDF, 379.1 KB) 2018 TASCD 209 |
missing person, Drugs & Alcohol, Mental Illness & Health, human remains, Warrawee Reserve, asphyxia. |
| James, Damien Aron Web (PDF, 167.8 KB) 2016 TASCD 212 |
Motor Vehicle Crash, Transport & Traffic Related, single vehicle, driver, Powranna, Midland Highway, fatigue, fell asleep, driver licence testing |
| Jackson, Christopher George (PDF, 203.4 KB) 2016 TASCD 183 |
Youth, Water Related, Drugs & Alcohol, Drowning, boating, long term missing person, Derwent River, Kangaroo Bay |
| Jackson, Margaret Joan (PDF, 381.9 KB) 2018 TASCD 101 |
Transport & Traffic Related, motor vehicle crash, Interlaken Road, gravel road, drive without due care, inexperienced driver, speed limit. |
| Mr J (PDF, 181.0 KB) 2015 TASCD 323 |
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 |
| Mr J (PDF, 221.3 KB) 2015 TASCD 077 |
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 |
| J (PDF, 173.6 KB) 2015 TASCD 259 |
Child & Infant Death, drowning, solar dome pool cover, fencing |
| Hyland, Tobias Joseph (PDF, 241.0 KB) 2017 TASCD 325 |
Domestic Incident, tree felling, chainsaw, poor tree felling techinique, unsafe use of chainsaws, wood cutting, chainsaw training, recommendations regarding chainsaws |
| Howard, Lawrence Alan (PDF, 242.6 KB) 2017 TASCD 324 |
Domestic Incident, tree felling, chainsaw, poor tree felling techinique, unsafe use of chainsaws, wood cutting, chainsaw training, recommendations regarding chainsaws |
| Hovington, Byron Russell (PDF, 167.9 KB) 2015 TASCD 322 |
Drugs & Alcohol, Misadventure, Drug Overdose, Royal Hobart Hospital, methylamphetamine toxicity, hypoxic encephalopathy, cardiac arrest, intravenous drug use, jaw pain |
| Hoskinson, Neville Robert (PDF, 325.8 KB) 2017 TASCD 107 |
cardiac tamponade, proximal aortic dissection, hypertension, Launceston General Hospital, angiogram, radiology, transthoracic echocardiogram, delayed diagnosis, adverse medical effects |
| Hoskinson, Christopher & Hoskinson, Elaine (PDF, 186.1 KB) 2016 TASCD 142, 143 |
Transport & Traffic Related, Motor Vehicle Crash, Midlands Highway, Ross, mobile phone, log truck |
| Hosking, Jason Mathew Henry (PDF, 364.2 KB) 2017 TASCD 380 |
Royal Hobart Hospital, RHH, misdiagnosis, decision to discharge, discharge from hospital, Staphylococcus Aureus, sepsis, endocarditis, |
| Horsham, Gordon James (PDF, 371.7 KB) 2018 TASCD 327 |
Transport and Traffic Related, motor vehicle crash, motor vehicle accident, seatbelt, not wearing seatbelt, seatbelt fastened incorrectly, |
| Holmes, Michael John (PDF, 211.8 KB) 2015 TASCD 333 |
Undetermined, Drugs & Alcohol, Mental Illness & Health, missing person, suicide attempts, unemployment, isolation |
| Holmes, David Scott (PDF, 228.4 KB) 2017 TASCD 379 |
Transport & Traffic Related, Work Related, motor vehicle crash, truck crash, truck rollover, prime mover truck, cardiac arrhythmia, heart attack, physical health. |
| Hingston, Nicolle Clare (PDF, 230.2 KB) 2016 TASCD 374 |
cardiorespiratory arrest, pulmonary hypertension, cor pulmonale, congenital heart disease, ventricular septal defect, North West Regional Hospital, blood transfusion, premature discharge from hospital |
| Higgins, Elizabeth Ann (PDF, 728.7 KB) 2017 TASCD 160 |
Drowning, water related, Little Howrah Beach |
| Hickman, Peter (PDF, 257.6 KB) 2016 TASCD 371 |
Transport & Traffic Related, Motor Vehicle Crash, Drugs & Alcohol, methylamphetamine, West Tamar Highway, Rosevears, single vehicle, oxycontin, amphetamine, alprazolam, methadone, Traffic Act, section 41A, bail |
| Hewitt, Robert Ian (PDF, 166.2 KB) 2016 TASCD 345 |
Transport & Traffic Related, Older Persons, Motor Vehicle Crash, Channel Highway, Oyster Cove, driver error |
| Henriksen, Wendy Margaret (PDF, 503.3 KB) 2016 TASCD 219 |
Coronial, hospital, sepsis, chemotherapy, Emergency Department, |
| Henri, Paul Lucien (PDF, 237.7 KB) 2015 TASCD 367 |
Older Persons, Aged Care, Physical Health, Royal Hobart Hospital, Huon Eldercare Nursing Home, pain, anxiety, drug management, morphine, MS Contin, starting dose, opiate naïve, cross tolerance, monitoring, observation, heart disease, aspiration pneumonia, Parkinson’s disease, sleep apnoea, cerebral infarction, hypoxic brain damage, Tramadol, quetiapine, CPAP, sedation, blood samples |
| Hedrick, Gary John (PDF, 264.3 KB) 2017 TASCD 388 |
Water related, drowning, alcohol, intoxication |
| HE (PDF, 118.2 KB) 2017 TASCD 181 |
echovirus type 9, myocarditis and pneumonitis, infant death, natural causes, St Mary's Community Hospital |
| Hayes, Teegan Rose Dana (PDF, 443.6 KB) 2018 TASCD 208 |
child & infant death, co-sleeping, bed sharing, SIDS, Sids and Kids, Red Nose, suffocation, Child Protection Services, alcohol, brain damage, safe sleeping practices, neglect, Tasmanian Government Response to Coroner's Recommendations, Vulnerable Infants and Babies Strategy, Child and Youth Services. |
| Hay, Katrina Maree (PDF, 182.4 KB) 2015 TASCD 319 |
Misadventure, Drugs & Alcohol, intravenous drug use, crushed tablet, heart failure, pregnant, fetal death, pulmonary hypertension, cardiac arrest, microcrystalline cellulose, granulomas, granulomatous inflammatory reaction |
| Harrison, Jason Keith (PDF, 313.9 KB) 2016 TASCD 430 |
NWRH, WCDH, small bowel infarct, sepsis, mesenteric hernia, regional hospital |
| Harrison, John Joseph & Viney, Danny Leonard.pdf (PDF, 111.9 KB) 2017 TASCD 208; 2017 TASCD 209 |
Water related, drowning, recreational boating, Waterhouse Point, PFD, not wearing a life-jacket, Marine & Safety Tasmania, boat insufficiently equipped |
| Harris, Stephen Russell (PDF, 271.6 KB) 2017 TASCD 172 |
Death in care, cardiac arrhythmia, North West Regional Hospital, Spencer Clinic, Mental Health order, Paliperidone |
| Harper, Marlene Jean (PDF, 230.3 KB) 2016 TASCD 100 |
Older Persons, Physical Health, deep vein thrombosis, chronic lymphocytic leukaemia, atherosclerotic vascular disease, duplex ultrasound, anticoagulant, misdiagnosis |
| Hanlon, Louise Kamarnia May (PDF, 175.0 KB) 2016 TASCD 347 |
motor vehicle crash, car crash, motor accident, South Arm Road, provisional licence, P1. |
| Handasyde, Robert Neil (PDF, 232.2 KB) 2017 TASCD 187 |
medical care, older person, North West Regional Hospital, sepsis, septic shock, urinary tract infection, pyelonephritis |
| Hamlyn, Michael William (PDF, 369.1 KB) 2018 TASCD 104 |
Intentional self harm |
| Hamill, Tracey Fay (PDF, 407.5 KB) 2018 TASCD 359 |
transport and traffic related, motor vehicle accident, mental health and illness, depression, Penquite Road, Launceston |
| Hall, Alexander (PDF, 381.2 KB) 2018 TASCD 324 |
tractor accident, tractor crash, transport and traffic related, seatbelts, seatbelts in tractors |
| GW (PDF, 355.9 KB) 2018 TASCD 148 |
Alcohol & Drugs, alcohol intoxication, acute alcohol toxicity, acute ethanol toxicity, 0.524g/100ml, fatal alcohol level, aspiration pneumonia, chronic alcohol abuse, alcoholic, Mental Illness and Health. |
| Grey, Andrew Amos (PDF, 192.2 KB) 2016 TASCD 224 |
Drowning, Leisure Related, Water Related, Weather Related, Burns Bay, St Helens, lobster, Stormy Seas PFD, service |
| Greer, Rita (PDF, 422.0 KB) 2017 TASCD 059 |
self-inflicted stabbing, suicide, mental health, schizophrenia, section 58, re-open, re-investigation, Barbara Etter, |
| Green, Paul William (PDF, 457.7 KB) 2018 TASCD 336 |
carbon monoxide poisoning, exhaust gas, lawn mower exhaust, Mental Illness & Health, prevention of suicide, older persons, suicide prevention. |
| Greaves, Brett Jason (PDF, 375.3 KB) 2018 TASCD 299 |
transport and traffic related, motorcycle accident, coroner's recommendations |
| Graham, Dylan Rhys (PDF, 211.3 KB) 2017 TASCD 123 |
Elizabeth Street Pier, Salamanca, undetermined cause of death |
| Goss Brittany Kate (PDF, 187.0 KB) 2016 TASCD 011 |
Youth, Transport & Traffic Related, Motor Vehicle Crash, Weather Related, bus stop, pedestrian, rural, Collins Lane, West Tamar Highway, Sidmouth |
| Gorrie, Kurt Joshua (PDF, 568.9 KB) 2018 TASCD 309 |
work related, work place death, fall from height, King Island airport, failure to wear safety harness, Coroner's recommendations, Work Health and Safety Act 2012 |
| Gordon, Mark Alexander (PDF, 235.7 KB) 2016 TASCD 282 |
Physical Health, Royal Hobart Hospital, misdiagnosis, inadequate care, cardiac arrest, heart disease, pericardial tamponade, aortic dissection, hypertension, diabetes, obesity, hepatic steatosis, thyroiditis, CT scan |
| Godley, David Geoffrey (PDF, 674.7 KB) 2018 TASCD 273 |
intentional self-harm, mental health and illness, psychosis, self-inflicted stabbing, weapon, drugs and alcohol, ice, cannabis, methamphetamine |
| Thompson, Geoffrey Ross Sydney (PDF, 168.5 KB) 2015 TASCD 180 |
Drugs & Alcohol, prescription, promethazine, citalopram, ethanol, mixed drug toxicity |
| G Ms (PDF, 165.4 KB) 2015 TASCD 423 |
Intentional Self-Harm, Drugs & Alcohol, Mental Illness & Health, Suicide, bereavement, financial pressure, unemployment, outpatient support, addiction |
| French, Steven John (PDF, 500.6 KB) 2017 TASCD 445 |
Adverse Medical Effects, Hospital death, stroke, Royal Hobart Hospital, North West Regional Hospital, misdiagnosis, shortcomings in care, inadequate care, failure to diagnose. |
| Freestone-Barks, Rosalind MacDonald Maxwell (PDF, 449.7 KB) 2017 TASCD 387 |
Motor bike accident, coronial, multiple injuries |
| Free, Maxwell John (PDF, 233.3 KB) 2017 TASCD 066 |
paracetamol, paracetamol overdose, drug overdose, paracetamol toxicity, organ failure, Royal Hobart Hospital. |
| Forward, Trudi Maree (PDF, 630.4 KB) 2018 TASCD 197 |
Royal Hobart Hospital, RHH, thrombus, delay in diagnosis, misdiagnosis, medical failures, failure to diagnose, sepsis, multiple organ failure, infarct, necrosis, small bowel, superior mesenteric artery, |
| Fletcher, Thomas Charles and Priest, Leonard Roger (PDF, 331.3 KB) 2018 TASCD 195 and 196 |
Leisure Activity, older persons, sports related, water related, weather related, boating, drowning, Park Beach Tasmania, capsize, life jackets. |
| Fletcher, Braidon Lewis (PDF, 284.8 KB) 2018 TASCD 300 |
chainsaw, tree felling, crush by tree, domestic accident, chainsaw accident, tree felling accident, jammed chainsaw, pull tree down with ute, unsafe chainsaw use, chainsaw recommendations, chainsaw training. |
| Fitzgerald, Oswyn Leigh (PDF, 272.7 KB) 2018 TASCD 89 |
transport and traffic related, single vehicle accident, Baskerville Raceway, cardiac arrhythmia |
| Fisher, Melissa (PDF, 160.2 KB) 2017 TASCD 129 |
fall, bush walking, Southwest National Park, fall from height, fall from Federation Peak, |
| Field, Jayden Craig (PDF, 555.6 KB) 2015 TASCD 373 |
Misadventure, Drugs & Alcohol, Youth, taxi, fare evasion, head injury, CCTV, taxi camera, police investigation |
| Fellows, Peter Leslie (PDF, 235.2 KB) 2017 TASCD 185 |
congestive cardiac failure, coronary artery disease, cardiac failure, dilated poorly contracting heart, acute myocardial infarct, atherosclerotic coronary vascular disease, cardiogenic shock, LGH, Launceston General Hospital, beta blockers, adverse medical effects, |
| Falvey, Theresa Mary (PDF, 378.0 KB) 2017 TASCD 373 |
Neck Injury, Single motor vehicle collison |
| Evans, Jillian and John (PDF, 342.2 KB) 2018 TASCD 81 and 82 |
homicide, suicide, murder, murder suicide, violence, assault, domestic violence, delusions, bipolar, mental health, |
| Elias, Nebras (PDF, 496.5 KB) 2019 TASCD 1 |
transport and traffic related, motor vehicle accident, two vehicle crash, Lebrina |
| Edmonds, Ashley Samantha (PDF, 377.3 KB) 2018 TASCD 44 |
motor vehicle crash, transport and traffic related, Bradley Chaplin, school bus, inappropriate driving, driving offences. |
| Dunster, Kenneth Francis (PDF, 743.5 KB) 2019 TASCD 5 |
death in care, Mental Health Act 2013, mental health order, Millbrook Rise Centre, asphyxia, choking on food, supervision of meals |
| Dunk, Michael & Johnson, Elishka (PDF, 213.3 KB) 2018 TASCD 60; 2018 TASCD 61 |
homicide & assault, weapon, firearm, intentional self harm, mental illness & health |
| Dufty, David Richard (PDF, 552.6 KB) 2018 TASCD 434 |
death in custody, death in care, mental illness and health, Royal Hobart Hospital, metastatic carcinoma, schizophrenia |
| Duff, Jayde Kaylam (PDF, 479.9 KB) 2018 TASCD 457 |
transport and traffic related, motorcycle accident, drug and alcohol, methylamphetamine, cannabis, excessive speed, Meander Valley Road |
| Drew, Malcolm (PDF, 165.3 KB) 2015 TASCD 369 |
Transport & Traffic Related, Motor Vehicle Crash, Driver, single vehicle, tree, tourist, Lyell Highway, head injuries, fatigue, fell asleep, tired, wet |
| Dransfield, Brian (PDF, 241.2 KB) 2017 TASCD 323 |
Domestic Incident, tree felling, chainsaw, poor tree felling technique, unsafe use of chainsaws, wood cutting, chainsaw training, recommendations regarding chainsaws |
| Dortkamp, John Andrew (PDF, 220.7 KB) 2015 TASCD 237 |
Death in Care, Millbrook Rise Centre, schizophrenia, emphysema, hypertrophy of the heart, treatment order, Physical Health, Mental Illness & Health |
| Dick, Braiden Taylor (PDF, 437.5 KB) 2018 TASCD 372 |
intentional self harm, suicide, youth, Child and Adolescent Mental Health Services, mental illness and health, Spencer Clinic |
| DF (PDF, 166.7 KB) 2017 TASCD 069 |
newborn death, infant death, premature baby, extreme prematurity, acute chorioamnionitis, 23 weeks gestation. |
| Dent, Freda Lillian Florence (PDF, 384.0 KB) 2018 TASCD 450 |
ischaemic heart disease, Freemasons, inadequate care, nursing home. |
| Delaney, Maxwell (PDF, 208.9 KB) 2016 TASCD 071 |
Aged Care, Eliza Purton Care Home, North West Regional Hospital, Falls, outdoor area, plastic chair, monitoring, fracture, pneumonia |
| Deaths from a Public Place (PDF, 509.2 KB) 2016 TASCD 385 386 387 388 389 390 |
Tasman Bridge, Intentional Self-Harm, Mental Illness & Health, Tasmanian Suicide Prevention Strategy, drowning, jump, fall, surveillance, telephones, signage, barrier . |
| Pearce, Jasmine Rose (PDF, 264.6 KB) 2015 TASCD 75 |
Child & Infant Death, Drugs & Alcohol, safe sleeping, bed sharing, suffocation, CPS, family violence, cumulative harm, Gateway Services, police |
| Dawson, Aidan Andrew (PDF, 395.5 KB) 2016 TASCD 091 |
Homicide & Assault, Drugs & Alcohol, domestic violence, stabbing, self-defence, Police Family Violence Order, Safe at Home |
| Davis, Ross James (PDF, 209.7 KB) 2015 TASCD 178 |
Drugs & Alcohol, Misadventure, intravenous drug use, injecting opiates, crushed pills, opiate analgesia, chronic pain, pulmonary disease, respiratory disease, morphine |
| Daniels, Scott Allen (PDF, 280.1 KB) 2018 TASCD 174 |
Drugs & Alcohol, Mental Illness & Health, Misadventure, positional asphyxia, clozapine, antipsychotic, cannabis, THC, marijuana. |
| Daley, Brian Owen (PDF, 374.1 KB) 2017 TASCD 532 |
carbon monoxide intoxication, inhalation of exhaust, petrol generator, boat, boating accident, Water Related, exhaust gas, carbon monoxide detector, |
| Ms D (PDF, 179.0 KB) 2015 TASCD 211 |
Drugs & Alcohol, mixed drug toxicity, amitriptyline, chlorpheniramine, diazepam, codeine, biventricular hypertrophy, antihistamines, opiates |
| Mr D (PDF, 372.3 KB) 2016 TASCD 009 |
Mental Illness & Health, stress, fall, anti-depressant, noncompliant, self-reporting, Launceston General Hospital, Crisis Team |
| Cuthbertson, Kevin Ross (PDF, 384.4 KB) 2018 TASCD 187 |
Transport & Traffic Related, crush by campervan, home mechanics, crushed working under vehicle, crushed working under campervan. |
| Crosswell, Wendy (PDF, 162.7 KB) TASCD 247 |
Adverse Medical Effects, Hospital, PEG tube, percutaneous endoscopic gastrostomy tube; RHH, Royal Hobart Hospital, pyelonephritis, nasogastric feeding tube, misdiagnosis, unacceptable standard of care, inadequate care, recommendations regarding PEG tubes, recommendation to hospitals. |
| Cross, Adrian John.pdf (PDF, 372.2 KB) 2018 TASCD 349 |
cyclist hit truck, transport and traffic related, bicycle rides into truck. |
| Cooper, David Wade Archer (PDF, 166.1 KB) 2016 TASCD 432 |
Transport & Traffic Related, Motor Vehicle Crash, motorcycle, East Derwent Highway, Geilston Bay, Grass Tree Hill, Pipers Road, Youth, learner, provisional, death by negligent driving, fail to give way, inadequate lookout |
| Cohen, Yvonne Dawn (PDF, 397.9 KB) 2018 TASCD 467 |
pneumonia, undiagnosed, North West Regional Hospital, standard of care, medical care |
| Cobham, David Alexander (PDF, 316.1 KB) 2016 TASCD 429 |
Royal Hobart Hospital, RHH, rhabdomyolysis, aspiration pneumonia, Vaucluse Gardens, Bupa Care, entrapment, towel rail, nursing home, care facility, elderly, injury in care, death in care, care plan. |
| Clarke, Donald John (Word, 235.0 KB) |
Physical Health, Adverse Medical Effects, Calvary St Luke's Hospital, Launceston General Hospital, cervical spine surgery, aspiration pneumonia, radiology, obesity, oxycodone, midazolam, tracheomalacia, endone |
| Clarke, Joshua (PDF, 179.0 KB) 2015 TASCD 106 |
Motor Vehicle Crash, Transport & Traffic Related, Drugs & Alcohol, York Plains Road, Lemont, seat belt, unroadworthy |
| CK (PDF, 176.9 KB) 2015 TASCD 420 |
Child & Infant Death, Transport & Traffic Related, Motor Vehicle Crash, bystander, four-wheel drive, Trial Harbour |
| BEAMISH, Bruce Anthony and CHUGG, Adrian David (PDF, 63.9 KB) |
Bruce Anthony Beamish, Adrian Chugg |
| CHUGG, Adrian David and BEAMISH, Bruce Anthony (PDF, 63.9 KB) |
Bruce Anthony Beamish, Adrian Chugg |
| Carr, Dennis Robert 2015 TASCD 001 |
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 |
| Campbell, Kenneth Arthur (PDF, 371.8 KB) 2018 TASCD 225 |
ischaemic heart disease, atrial fibrillation, mitral valve regurgitation, congestive cardia failure, heart attack while driving, natural cause death, Transport & Traffic Related. |
| Mr C (PDF, 163.8 KB) 2015 TASCD 187 |
Domestic Incident, crushed, trolley jack, vehicle, ramp, chocking |
| Butterworth, Lucille (PDF, 503.2 KB) 2016 TASCD 096 |
Homicide & Assault, long term missing person, bus stop, Claremont, Box Hill Road, Geoffrey Hunt |
| Burling, Gregory (PDF, 373.5 KB) 2017 TASCD 531 |
carbon monoxide intoxication, inhalation of exhaust, petrol generator, boat, boating accident, Water Related, exhaust gas, carbon monoxide detector, |
| Burkhardt, Wesley Ian (PDF, 372.1 KB) 2018 TASCD 231 |
transport & traffic related, motorcycle crash, motor vehicle crash, motorbike, methyl amphetamine, driving motorcycle under influence of drug, drug driving, motorcycle collides with truck. |
| Bunn, Lauren Elizabeth (PDF, 375.6 KB) 2018 TASCD 094 |
Drugs and Alcohol, mixed drug toxicity, mental illness, self-harm, Police Radio Dispatch Service, RDS, prescription drugs, review RDS policies, review police policy, ambulance dispatch. |
| Bugg, Margaret Evalina (PDF, 334.6 KB) 2017 TASCD 225 |
North West Regional Hospital, Yaraandoo Nursing Home, fall, stand up lifter, coroners recommendations |
| Bryan, Timothy David (PDF, 438.9 KB) 2018 TASCD 87 |
motor vehicle accident, transport and traffic related, drugs and alcohol, failure to wear a seat belt, drink driving |
| Bruinger, Stephen Guy (PDF, 364.8 KB) 2018 TASCD 350 |
medical related death, Royal Hobart Hospital, Emergency Department, overcrowding |
| Brown, Maddison Ann (PDF, 363.8 KB) 2018 TASCD 145 |
Transport & Traffic Related, motor vehicle crash, Murchison Highway, mobile phone while driving. |
| Broomhall, Tyler John (PDF, 240.7 KB) 2016 TASCD 313 |
Drugs & Alcohol, Leisure Activity, Physical Health, football, sport, methylamphetamine, intra-cerebral haemorrhage, delay in diagnosis, North West Regional Hospital |
| Broomhall, Callum Dane (PDF, 274.1 KB) 2018 TASCD 127 |
transport and traffic related, single vehicle crash, drink-driving, alcohol and drug related, failure to wear a seat-belt |
| Brook, Jason Mark (PDF, 184.9 KB) 2016 TASCD 194 |
Physical Health, Transport & Traffic Related, Motor Vehicle Crash, Mersey Community Hospital, North West Regional Hospital, motorcycle, surgery, deep vein thrombosis, pulmonary embolism, anticoagulation, immobilisation, inadequate care |
| Bronson, Connan Taiaroa (PDF, 170.2 KB) 2015 TASCD 179 |
Intentional Self-harm, Mental Illness & Health, Drugs & Alcohol, Suicide, cliff, itinerate |
| Britton, Eamon (PDF, 274.3 KB) 2018 TASCD 121 |
Long term missing person, missing person, human leg, DNA profiling, Forensic Science Service Tasmania, exhumation, bones, leg in Tamar River, |
| Bradshaw, Luke (PDF, 274.2 KB) 2016 TASCD 083 |
Water Related, Drugs & Alcohol, Drowning, Marine Fatality, Derwent River, Prince of Wales Bay, jetty |
| Bowden, Frederick Rocky (PDF, 560.3 KB) 2018 TASCD 433 |
death in care, death in custody, mental illness and health, Roy Fagan Centre, schizophrenia, pneumonia, renal failure. |
| Bone, Christine Sylvia (PDF, 270.7 KB) 2016 TASCD 294 |
motor vehicle collision, coronial, abdominal injuries, chest injuries |
| Blazely, Corey Benjamin Maverick (PDF, 379.0 KB) 2018 TASCD 465 |
transport and traffic related, pedestrian struck by motor vehicle, Southern Outlet |
| Blackaby, Kobie (PDF, 210.2 KB) 2016 TASCD 210 |
Child & Infant Death, Water Related, Drowning, inflatable pool, fence, supervision |
| Johnstone, BJay (PDF, 938.6 KB) 2017 TASCD 248 |
infant, ill-treat child, child death, infant death, child protection, Child & Infant Death, Homicide & Assault, family violence, assault child, |
| Bishop, Sarah Victoria (PDF, 164.4 KB) 2016 TASCD 346 |
Transport & Traffic Related, Motor Vehicle Crash, Channel Highway, Cygnet, dextromethorphan, robitussin, warnings, over the counter |
| Bird, Heather Mary (PDF, 243.3 KB) 2017 TASCD 126 |
Physical health, Royal Hobart Hospital, intensive care unit, ICU, Medical Emergency Team, inadequate care, retroperitoneal haemorrhage, anticoagulation, cerebrovascular infarct, intra-arterial cannulation, pneumonia, sub-acute stroke, haemorrhagic shock |
| Beuckelaers, Elfride Elisabeth (PDF, 174.9 KB) 2016 TASCD 090 |
Motor Vehicle Crash, Older Persons, driver, fail to give way, Bass Highway, Christmas Hills Road, Elizabeth Town |
| Bessell, Lynne - finding web.pdf (PDF, 475.3 KB) 2018 TASCD 107 |
coronial, metastatic carcinoma of colon, emphysema, acute bronchopneumonia, |
| Wicks, Benjamin (PDF, 639.6 KB) 2018 TASCD 491 |
Work Related, workplace death, pile driving, recommendations for safe work practices, piling industry, risk assessment, fail to undertake risk assessment, unsafe workplace practices, crushing by steel beam, crush. |
| Bedford, Sidney (PDF, 226.3 KB) 2016 TASCD 209 |
Falls, Older Persons, Launceston General Hospital, Physical Health, subdural haemorrhage, CT scan, misdiagnosis |
| Baxter, Joyce Kathleen (PDF, 291.9 KB) 2018 TASCD 236 |
Long term missing person, missing person, disappearance 1955, bones, Organ Pipes, Mt Wellington, human remains, DNA profiling, undetermined cause of death. |
| Barnes, Deearne Joan (PDF, 354.2 KB) 2016 TASCD 179 |
Physical Health, Mental Illness & Health, Drugs and Alcohol, Overdose, mixed drug toxicity, prescription medication, venlafaxine, methadone, amitriptyline, quetiapine, diazepam, chronic opioid therapy |
| Barker, Richard Carl (PDF, 255.0 KB) 2017 TASCD 302 |
Work Related, work place death, industrial accident, work place accident, crushing, crush by metal plate, BIS Industries, ATH Engineering and Maintenance, work site accident, work place safety, safety harness, safety rails. |
| Balmer, Rosemary Joy (PDF, 166.2 KB) 2015 TASCD 181 |
Drugs & Alcohol, Misadventure, mixed prescription drug toxicity, oxycodone, amitriptyline, diazepam, diphenhydramine, paracetamol, chronic pain |
| Ball, Jeremy Dacre (PDF, 189.5 KB) 2016 TASCD 196 |
motor vehicle crash, suicide, semi-trailer, mental health, deliberate crash, prime mover, drive into prime mover, suicide by motor vehicle crash. |
| Ball, Betty Irene. (web) pdf.pdf (PDF, 494.0 KB) 2018 TASCD 56 |
spinocerebellar ataxia, hospital, St Luke's Calvary, Aged Care, inadequate care, constipation, Presbyterian Care, Older persons, physical health, bowel obstruction. |
| Baldock, Andrea Eileen (PDF, 256.4 KB) 2017 TASCD 313 |
sleeve gastrectomy, weight reduction surgery, gastroparesis, aspiration pneumonia, adverse medical effects, Launceston General Hospital, coroner's recommendations |
| Baby B (PDF, 345.2 KB) 2018 TASCD 131 |
SUDI, SIDS, child & infant death, sudden unexpected death in infancy, co-sleeping, coroner's recommendations |
| Mr B (PDF, 171.1 KB) 2015 TASCD 327 |
Work Related, crush, mechanic, trolley jack, jack stands |
| Mr B (PDF, 235.2 KB) 2015 TASCD 186 |
Water Related, Drowning, Marine Fatality, Older Persons, Derwent River, fishing, defective PFD, cardiac event, cold water immersion |
| Atkinson, James Robert (PDF, 272.4 KB) 2016 TASCD 090 |
Older Person, Falls, head injury, walking frame |
| Allie, Sue Denise (PDF, 382.0 KB) 2017 TASCD 415 |
Undetermined cause, Munchausen Syndrome, factitious disorder, superwarfarin (brodifacoum) toxicity |
| Allen, Vincent (PDF, 366.6 KB) 2017 TASCD 530 |
transport and traffic related, motor vehicle accident, drug and alcohol, dangerous driving |
| Alcohol - 2014 TASCDS 347, 348, 349, 350 (Word, 221.0 KB) |
|
| Aherne, Benjamin Mark & Clements, John William (PDF, 108.4 KB) 2015 TASCD 032, 033 |
Homicide & Assault, Intentional Self-Harm, Suicide, firearm, family violence, sexual dysfunction |
| AH (PDF, 465.3 KB) 2017 TASCD 405 |
Mental illness & health, intentional self harm, suicide, depression, Royal Hobart Hospital, Crisis Assessment and Treatment Team |
| ADT (PDF, 226.7 KB) 2016 TASCD 299 |
Child & Infant Death, Homicide & Assault, shaken baby, feeding, ill-treatment of a child |
| Adamson, Darryl (PDF, 166.9 KB) 2015 TASCD 289 |
Transport & Traffic Related, tractor, slasher, seizures, heart disease, orchard, cut-off switch, traumatic amputation |
| Mr A (PDF, 33.3 KB) 2015 TASCD 173 |
Misadventure, Drugs & Alcohol, Ritalin, methylphenidate, microcrystalline cellulose, intravenous injection, crushing pills, psychostimulant, foreign body granulomas of the lung, heart failure |
| 274 TCD 2013 - MR. B |
Coroner, findings, poppy, thebaine, signs |
| 2014 TASCD 425 - RHODES, Luke Dale |
Findings, Coronial Division, Magistrates Court of Tasmania, Drug Overdose |
| 2014 TASCD 392 - Mr S |
|
| 2014 TASCD 391 - INCHES, Christine Anne |
|
| 2014 TASCD 346- APTED, Dale Robert |
court,magistrate,magistrates,tasmania,australia,courts,coronial, morphine, intoxication |
| 2014 TASCD 344 -DOUGAN, Kim Marlene Anne |
motorcycle crash, severe trauma |
| 2014 TASCD 327- FOX, Barbara Constance |
Findings, Coronial Division, Magistrates Court of Tasmania, |
| 2014 TASCD 325 - Ms I |
|
| 2014 TASCD 318 - Mr H |
Findings, Coronial Division, Magistrates Court of Tasmania,domestic accident, blunt force, ground surface, static object, fall, ladder, moveable step, unpowered equipment |
| 2014 TASCD 317 - Mr G |
Findings, Coronial Division, Magistrates Court of Tasmania,fall, blunt force, ground surface, ladder, moveable step, unpowered equipment |
| 2014 TASCD 264 - RIGBY, Dayna Louise |
|
| 2014 TASCD 262- TAYLOR, Craig Ewen |
Findings, Coronial Division, Magistrates Court of Tasmania, , Drowning, body of water, threat to breathing, canoe, kayak, row boat, watercraft |
| 2014 TASCD 260- CAMPBELL, Donald Laird |
Findings, Coronial Division, Magistrates Court of Tasmania, drowning, water, weather, natural disasters, open sea, ocean, body of water |
| 2014 TASCD 256- SCOTT, Ricky Charles |
Findings, Coronial Division, Magistrates Court of Tasmania, , Drug overdose, poisioning, tramadol,codeine,morphine,amphetamine,diazepam,paracetamol, THC-COOH |
| 2014 TASCD 252- ROBERTSON, Kylie |
Findings, Coronial Division, Magistrates Court of Tasmania, Drug overdose, alcohol, alcoholic disease, poisoning by chemical |
| 2014 TASCD 251- CLARK, Geoffrey Arthur |
Findings, Coronial Division, Magistrates Court of Tasmania, Drowning, threat to breathing, open sea, ocean, fishing boat, trawler, watercraft |
| 2014 TASCD 238 - JONES, Steven Paul |
Findings, Coronial Division, Magistrates Court of Tasmania,overdose, drugs, |
| 2014 TASCD 222 - HEENAN, Martin Francis |
Findings, Coronial Division, Magistrates Court of Tasmania,overdose,, drug, alcohol, morphine, benzodiazepine, liver disease |
| 2014 TASCD 221 - GRANT, Steven John |
Findings, Coronial Division, Magistrates Court of Tasmania,overdose,alcohol, intoxication |
| 2014 TASCD 210 - ROSEN, Elyssa Suzanne |
Coroner, Tasmania, Findings, Diving, drowning, Tinderbox |
| 2014 TASCD 202 - SKINNER, Timothy Mark |
Findings, Coronial Division, Magistrates Court of Tasmania,drowning, threat to breathing, open sea, ocean, water, rocks, surf |
| 2014 TASCD 201 - HART, Connor Robert Lincoln |
Findings, Coronial Division, Magistrates Court of Tasmania,drowning, threat to breathing, open sea, ocean, water, rocks, surf |
| 2014 TASCD 149- RICHARDS, Ruth Mary |
Magistrates Court,Tasmania, Coronial Division, Blunt traumatic injuries, pedestrian hit by car, blunt force, transport injury, |
| 2014 TASCD 124 -Drug Overdose |
Drug, coroner, Tasmanis, mixed drug toxicity, methadone, amitriptyline, diazepam |
| 2014 TASCD 066 - MCGAVIN, Richard Kenneth |
Magistrates Court,Tasmania, Coronial Division, workplace fatalitity, roadworks, trucks,blunt force, pedestrian, heavy truck, crushing, |
| 2014 TASCD 043- BABY R |
Magistrates Court,Tasmania, Coronial Division, motor vechile fatality, blunt force, passenger, weather, rain,infant |
| 2014 TASCD 04- CHAPPELL, Robert Adrian |
Findings, Coronial Division, Magistrates Court of Tasmania, |
| 2014 TASCD 025- MARRIOTT, Brendan Roy |
Magistrates Court,Tasmania, Coronial Division, assault, gun shot, firearm, rifle, weapon, |
| 2014 TASCD 021 - WHITE, Yvonne Lorraine |
Findings, Coronial Division, Magistrates Court of Tasmania -Motor Vehicle Fatality, blunt injuries,vehicle occupant, passenger car, |
| 2014 TASCD 000 - PERCY, Noel Alan |
Findings, Coronial Division, Magistrates Court of Tasmania,death in custody, hanging, asphyxia |
| 2014 TASCD 000 - BLASCHKE, Gordon Stefan |
Findings, Coronial Division, Magistrates Court of Tasmania,overdose, drug, |
| 2014 TASCD 345 - XEPAPAS, Stephen Sotorios |
|
| 2013 TASCD 99- Mrs W |
Findings, Coroner, drugs, toxicity, mixed prescription drugs, bipolar affective disorder |
| 2013 TASCD 54 - Janice Peow Chye, FOO |
Findings, Coronial Division, Magistrates Court of Tasmania.vehicle accident, tourist,head and neck injuries, blunt force, transport injury, vehicle occupant, minibus, passenger, transport |
| 2013 TASCD 441- BURNS, Tanya Maree |
Findings, Coronial Division, Magistrates Court of Tasmania,incineration, smoke inhalation, house fire, flame, smoke, fire, smoke, heating, thermal mechanism, elextric, gas radiator, heater |
| 2013 TASCD 439- BOURKE, Simon Francis |
Findings, Coronial Division, Magistrates Court of Tasmania, blunt traumatic injuries, aircraft, crash, ultra-light |
| 2013 TASCD 437 - DALLEY, Paul Nicholas |
Findings, Coronial Division, Magistrates Court of Tasmania, asphyxia, tractor, rolling |
| 2013 TASCD 383 - GLOVER, Patricia Edna |
Findings, Coronial Division, Magistrates Court of Tasmania.complications of health care, medical care, surgical, operation, gastroenterology device |
| 2013 TASCD 374 -Unidentified female infant |
|
| 2013 TASCD 349 - HAYERS, Aliesha Emily |
Findings, Coronial Division, Magistrates Court of Tasmania. |
| 2013 TASCD 346- MARIKOVSZKI, Bela |
Magistrates Court,Tasmania, Coronial Division, multiple organ failure, burns, hot bathwater, domestic accident |
| 2013 TASCD 336 - SULLIVAN, Craig Anthony |
Findings, Coronial Division, Magistrates Court of Tasmania, ruptre of a left frontal cerebral abscess, death in custody, dentention centre |
| 2013 TASCD 272 - KNOWLES, Francis Joan |
fall, nursing home, coroner,hospital |
| 2013 TASCD 266 - BLAIN, Arthur Macfarlane |
Findings, coroner, driver's licence, elderly, interstate licences, crash, transport, registrar of motor vehicles |
| 2013 TASCD 256 - JOBLIIN, Robert John |
Findings, Coronial Division, Magistrates Court of Tasmania, vehicle accident, blunt force, transport, passenger car, driver, rider, single motor vehicle accident, rail vehicle, train. railway, |
| 2013 TASCD 255 - MRS D |
Findings, Coronial Division, Magistrates Court of Tasmania, Suicde, Depression, motor vehicle exhause gas, poisioning, pressuired hose,pipe |
| 2013 TASCD 253 - DAUNT, Linda |
Findings, Coronial Division, Magistrates Court of Tasmania, vehicle accident, blunt force, transport, passenger car, driver, rider, single motor vehicle accident, head and chest injuries |
| 2013 TASCD 236 - LINDSEY, Glen Michael |
Findings, Coronial Division, Magistrates Court of Tasmania,fall, horse racing, harness, sulky, cart, industrial accident, brain injury, driver, rider, animal, horse |
| 2013 TASCD 221 - Thomas, Andrew Michael |
Findings, Coronial Division, Magistrates Court of Tasmania,Vehicle accident, blunt force, vechile occupant, tranport injury, driver, rider, operator |
| 2013 TASCD 215 - PERRY, David |
Coroner, Tasmania, recommendations, medical, medical examination, hookah, diving, warnging |
| 2013 TASCD 213 - RAINBOW, Zac Cameron |
Coroner, Tasmania, recommendations, Asphyxia, pram, strollers, pushers, threat to breathing, infatn, child, |
| 2013 TASCD 212 - CLARKE, Benjamin David |
Findings, Coronial Division, Magistrates Court of Tasmania, Drowning, fishing, sea, ocean, threat to breathing, paid work, rock lobster, crab potting. countryside |
| 2013 TASCD 211- WHAYMAN, Timothy Glenn |
Findings, Coronial Division, Magistrates Court of Tasmania, Drowning, fishing, sea, ocean, threat to breathing, paid work, rock lobster, crab potting. countryside |
| 2013 TASCD 21 - WEBB, Zane David |
Findings, Coroner, death in custody, epilepsy |
| 2013 TASCD 189 - CHURCH, James Peter |
Findings, Coronial Division, Magistrates Court of Tasmania, Head Injury, Fall from Height, blunt force, contact static obeject, building |
| 2013 TASCD 186- WOOD, Beverley Joan |
Findings, Coronial Division, Magistrates Court of Tasmania, neck and chest injuries, pinned under own car,blunt force, vehicle occupant, transport injury, passenger car |
| 2013 TASCD 182 - DONNELLY, Trevor Darren Matthew |
Findings, Coronial Division, Magistrates Court of Tasmania, Drowning, alcohol, threat to breathing, body of water, spa, hot tub, above-ground swimming pool |
| 2013 TASCD 173 - BAKES, Walter Charles |
Findings, Coronial Division, Magistrates Court of Tasmania,Asphyxia, smoke inhalation, house fire, flame, smoke, fire, smoke, heating, thermal mechanism, elextric, gas radiator, heater |
| 2013 TASCD 171- WELLS, Kerry John |
Findings, Coronial Division, Magistrates Court of Tasmania, Motor Vehicle Crash, Blunt Force, Transport Injury Event, Vehicle Occupant, Heavy Transport Vehicle, Thermal Mechanism, Heating, Fire or Flame |
| 2013 TASCD 154 - Mr D |
Findings, Coronial Division, Magistrates Court of Tasmania - Drowning, depression, threat to breathing, river, stream, creek, water |
| 2013 TASCD 150- Mr W |
Findings, Coroner, drugs, toxicity, mixed prescription drugs |
| 2013 TASCD 144 - WHILEY, Stanley Valentine |
Findings, Coronial Division, Magistrates Court of Tasmania ischaemic heart disease, complications of health care, adverse effects related to drugs, pharmaceutical substance, analgesic,antipyretic,antirheumatic and morphine |
| 2013 TASCD 143 - SALTER, Phillip John |
Findings, Coronial Division, Magistrates Court of Tasmania, Acute Myeloid Leukemia, |
| 2013 TASCD 142 - MCKINLAY, James Stirling |
Magistrates Court,Tasmania, Coronial Division, Fungsl Infection, Abdominal Surgery, Medical/Surgical Device, Hospitial, Surgical Pack, Complications of Health Care |
| 2013 TASCD 141 -Mr K |
Coroner, findings, Motor Vehicle Accident, Blunt Force, Tranport Injury Event, Vehicle Occupant, Motor Vehicle Crash, |
| 2013 TASCD 122 - WHITELEY, Nicholas Martin |
|
| 2013 TASCD 102 -ROBBINS, Leanne |
Magistrate, Coroner, findings, recommendations, Motor Vehicle Crash, Fatal Blunt trauma injuries, |
| 2013 TASCD 095 - OSBOURNE, Liam Robert |
|
| 2013 TASCD 067 - WOOLLEY, Damien Leigh |
Coroner, orchard, death, hydrolic mat roller, 'extenday' |
| 2013 TASCD 065 - MACROW, Randolph Brian |
Magistrates Court, Tasmania, Coronial, Suicide, Carbon Monoxide Poisoning |
| 2013 TASCD 038 - YORK, Joanne Jean |
|
| 2013 TASCD 036 - HIGLETT, Geoffrey William |
Coroner, Magistrate, Hobart, Coronial, recommendations, tractor, farming, slasher, Bruny Island |
| 2013 TASCD 023 - SHAW, Rebecca Jane |
Coroner, findings, Motor Vehicle Accident, Blunt Force, Tranport Injury Event, Vehicle Occupant, Motor Vehicle Crash, |
| 2013 TASCD 022 - KNOTT, Alicia Ellen |
Coroner, findings, Motor Vehicle Accident, Blunt Force, Tranport Injury Event, Vehicle Occupant, Motor Vehicle Crash, |
| 2013 TASCD 163 - Mr. H |
|
| 2012 TASCD 90 - BOOTH, Lonnie |
|
| 2012 TASCD 82 - BABY H |
|
| 2012 TASCD 444 - Mr C |
Findings, Coronial Division, Magistrates Court of Tasmania, drug intoxication, morphine, |
| 2012 TASCD 377 - Ms C |
Coroner, findings, suicide, hanging |
| 2012 TASCD 376 - Master P |
Findings, Coronial Division, Magistrates Court of Tasmania -infanct, co-sleeping, sleeping with parents, threat to breathing, bed sharing, |
| 2012 TASCD 369 - TAYLOR, Zack Wayne |
Coroner, Suffocation, Talcum Powder |
| 2012 TASCD 354 - Mr M |
Coroner, findings, suicide |
| 2012 TASCD 349 - DINGLE, Simon Duncan |
Coroner, recommendations, traumatic subarachnoid hemorrhage, blunt force inhuries, head and neck injuries, |
| 2012 TASCD 340 - SCOTT, Beverley Dawn |
Findings, Coronial Division, Magistrates Court of Tasmania, chest injuries, blunt force, falling, stumbling, falling same level, glass door, door, building, exposure to recent surgery, medical/surgical device, general hospital |
| 2012 TASCD 339 - JAFFRAY, Reginald John |
|
| 2012 TASCD 316 - Ms W |
|
| 2012 TASCD 315 - BURMISTER, Garry Paul |
|
| 2012 TASCD 314 - Ms F |
|
| 2012 TASCD 312 - TREZONA, David Kenneth |
|
| 2012 TASCD 303 - Ms L |
|
| 2012 TASCD 290 - BOURKE, Melanie Patricia |
|
| 2012 TASCD 289 - BROOKS, William Vernon |
|
| 2012 TASCD 288 - HARRIS, David John |
|
| 2012 TASCD 286 - MS R |
|
| 2012 TASCD 285 - IND, Stephen David |
|
| 2012 TASCD 272 - MS M |
|
| 2012 TASCD 268 - DENT, Jonathan Paul |
|
| 2012 TASCD 267 - MISS R |
|
| 2012 TASCD 266 - BINGLEY, Andrew Bruce Erskine |
|
| 2012 TASCD 264 - TAYLOR, Samuel George |
|
| 2012 TASCD 246 - MR B |
|
| 2012 TASCD 245 - HAY, Sandra Winifred |
|
| 2012 TASCD 224 - BREEN Donald Martin |
|
| 2012 TASCD 223 - ARCHER, Colin Gladstone |
|
| 2012 TASCD 209 - CASELY, Gary Robert |
|
| 2012 TASCD 206 - DROWNING |
|
| 2012 TASCD 205 - BINGLEY, Andrew Bruce |
|
| 2012 TASCD 202 - BABY A |
|
| 2012 TASCD 200 - BABY W |
|
| 2012 TASCD 196 - GIULIANI, Paul |
|
| 2012 TASCD 194 - STEWART, Robert Claude |
|
| 2012 TASCD 192 - COOPER-WHITE, Leo Thomas |
|
| 2012 TASCD 188 - MR B |
|
| 2012 TASCD 152 - MRS M |
|
| 2012 TASCD 151 - BELLETTE-COUTS, Ashley Philisity Maree |
|
| 2012 TASCD 144 - POHLNER, Kenneth Kim |
|
| 2012 TASCD 143 - NAUTA, Ellicia Stevie |
|
| 2012 TASCD 142 - MUIRHEAD, Samantha |
|
| 2012 TASCD 141 - KUOL, Kuol Piyom |
|
| 2012 TASCD 138 - MUNNINGS, Helen Karel |
|
| 2012 TASCD 136 - SALLESE, Nicola |
|
| 2012 TASCD 134 - PEGG, William Edward |
|
| 2012 TASCD 131 - SHOOBRIDGE, Diana Muriel |
|
| 2012 TASCD 124 - FUNARI, Rachel |
|
| 2012 TASCD 115 - Sherriff, John Charles |
Coroner, Calvary Hospital, haemoperitoneum, laparoscopic hemicolectomy, caecal tumour, complication of surgery |
| 2012 TASCD 112 - ANDERSON, Brendan Kenneth |
|
| 2012 TASCD 094 - NEWTON, Blake Marcus |
Overdose, Coroner, depression, combined drug intoxication, RHH |
| 2012 TASCD 092 - LEVI, Rene |
Magistrate, Coroner, Tasmania, Bicheno, drug, drugs, overdose, suicide, bystander, bystander effect, bipolar, abuse, dependence, benzodiazepine dependence, depression, alcohol, drug toxicity, toxicity, venlafaxine, diazepam, self harm,, Kitty Genovese (1935-1964), psychologist, social, psychoogical phenomenon, John Darley, Bibb Latane, research |
| 2012 TASCD 087 - BATCHELOR, Ruth Marina |
|
| 2012 TASCD 084 - SZABO, Eric Andrew |
|
| 2012 TASCD 079 - RAYMENT, Dennis George |
Coroner, warning, crushing, tree, tree fellers, hazardous, proper tree felling techiques |
| 2012 TASCD 072 - DENMAN, Gloria Jean |
Coroner, fire, housebound, television, carbon monoxide, operating smoke alarm, smoke alarm. |
| 2012 TASCD 052 - GUNN, Donna Sharee |
Motor Vehicle, Crash, Coroner, Tasmania, Driver, Fatigue, warning, driver fatigue, working fatigue |
| 2012 TASCD 049 - FAZACKERLEY-WATSON, Corey Albert |
Coroner, findings, court, drug overdose, alprazolam, drug treatment order, illicit drugs, Fazackerley-Watson, Robert Pearce |
| 2012 TASCD 027 - SMITH, Christine Julie |
Coroner, findings, mental health, Royal Hobart Hospital, RHH, hypoxic brain injury, drugs, emergency department, Psychiatry ward, benzodiazepine withdrawal. |
| 2012 TASCD 026 - SNAPE, Ann |
|
| 2012 TASCD 014 - LOVELL, Marcus Dean |
|
| 2011 TASDCD 127 - PARSELL, Sadie Olive |
Coroner, Tasmania, Barrington Lodge, fall, elderly, broken nock of femur, broken hip, AT, Ambulance Tasmania, delay, RHH, Royal Hobart Hospital |
| 2011 TASCD 450 - BLACKABY, Karen Elizabeth |
|
| 2011 TASCD 449 - WILLIAMS, Jeffrey Ray |
Findings, Coroner, Workplace Standards, unsafe work practices, tractor, crushing, farm, maintenance of equipment |
| 2011 TASCD 442 - BEER, Vaughan Matthew |
Tasmania, Coroner, vehicle, crash, methadone, recommendations, driver impairment, cannabis, fatigue, drugs |
| 2011 TASCD 422 - MR. M |
Hospital, coroner, recommendation, patients, communication, surgery, communication issues, medical staff, medical procedure |
| 2011 TASCD 421 - CLARKE, Christine Jan |
Coroner, findings, electrocution, frying pan, hypertensive heart disease. |
| 2011 TASCD 415 - MONEY, Douglas |
Coroner, findings, undetermined, 'Loru' |
| 2011 TASCD 410 - MENNITZ, Russell, Alfred |
crash, motor vehicle, Queenstown |
| 2011 TASCD 408 - DOYLE, Zachary George |
Coroner, recommendations, fatality, crane, farming, Perseverance, Roaring Beach, Dover, workplace, safe operation, training, risk assessment, |
| 2011 TASCD 403 - MR W. |
Coroner, findings, Langford, ashphyxia, death in care, recommendations, emergency alert device |
| 2011 TASCD 402 - MR S |
Findings, Coroner, drugs, medication, temazepam, sertraline |
| 2011 TASCD 398 - NEWELL, Christopher James |
Overdose, Coroner, depression, combined drug intoxication, RHH |
| 2011 TASCD 393 - BEAMES, Norman Valentine |
Hospital, NWRH, North West Regional Hospital, CT scan, contrast agent injected, reaction, Isovue, iodine |
| 2011 TASCD 391 - CONNOR, Kelvin John |
|
| 2011 TASCD 387 - SLACK, Bobby Ray |
Coroner, shark, Bruny Island, diviing, abalone |
| 2011 TASCD 386 HULL, David Jocelyn |
Finding, Coroner, drowning, boat, fisherman, Historial Missing Person, 'The Narrows", Marion Bay |
| 2011 TASCD 370 - Mr K |
Coroner, hanging, mental health, mental health services, NWRH |
| 2011 TASCD 364 - Mr. L |
|
| 2011 TASCD 354- Suicide for Publication |
Coroner, Suicide, Firearm, Depression |
| 2011 TASCD 347 - HOWELL, Rodney Peter |
Diving, Coroner, gas embolism, regulator, dive, Hookah, dangerous activity, equipment faults |
| 2011 TASCD 344 - GLEESON, Cherry |
Coroner, findings, hyperthermia, environmental heat exposure, entrapment in boot, alcoholic, alcohol |
| 2011 TASCD 343 - TIPPER, Pamela Mary |
Coroner, alchol, choking, food, steak, choking on food, emphysema, bronchiolitis, hypertensive cardiovascular disease, Goodwood |
| 2011 TASCD 340 - BOWKETT, Damien Steven |
Coroner, Motor Bike Accident, Blunt Force, Transport Injury, Motorcyclist/Motorcycle Rider, Fracture of base of the Skull, Fracture of Ribs, Pelvic Bones, recommendation, speeding, speed, unfamiliar road, correctly inflated tyres, maintenance |
| 2011 TASCD 319 - WAUGH, Claire Louise |
Coroner, recommendations, suicide, DHHS, 1E, Northside, suspension points, hospital , LGH, Launceston General Hospital, Mental Health, Mental Health Act 1996, involuntary patient, death in care, recommendation, suicide risk, THC, amphetamines, cannabis, methylamphetamine, Health Act, Tasmania, Launceston, |
| 2011 TASCD 306 - MURRAY, Xavier |
Coroner, findings, recommendations, multiple births, infant, twins, preganacy, "Multiple pregnancy policy" hospital, paediatrician, birth asphyxia, hospital, Calvary Hospital, Royal Hobart Hospital. |
| 2011 TASCD 300 - Lovell, Robbie |
|
| 2011 TASCD 298 - KUKULJEVIC, Peter Cecil |
Coroner, Tasmania, Recommendations, Murchison Highway, Tullah, Crash, speed, lost control, overtaking |
| 2011 TASCD 29 - WOOLLEY, Raelene Judith |
|
| 2011 TASCD 271 - LIMBRICK, Jeffrey David - |
Coroner, finding, recommendation, RHH, NWRH, Royal Hobart Hospital, North West Regional Hospital, liver, liver dysfunction, complications |
| 2011 TASCD 268 - GRICE, Billy John |
|
| 2011 TASCD 268 - ALLEN, Judith Louise |
Findings, coroner, recommendations, lap band surgery, Jehovah Witness, surgery, blood loss, surgery, RHH, autologous blood transfusions, |
| 2011 TASCD 258 - RANSLEY, Shane Allan |
Coroner, Findings, recommendations, Tasmania, crane, 'Franna", "29 tonne Franna crane", crane driver, speed, cannabis, THC, seat belt |
| 2011 TASCD 257 - Motorcycle Accident |
Motorcyle Crash, Blunt Force, Motorcyclist/Motorcycle Rider, Motorised Two or Three Wheeled Vehicle |
| 2011 TASCD 256 - Baby RL |
Coroner, Tasmania, baby, infant, Child Protection, premature, inquest, RHH |
| 2011 TASCD 254 - MAHER, Kayla Maree |
Coroner, recommendations, findings, motor vehicle crash, THC, passenger, male drivers, young male drivers, Novice Licensing system, Road Safety, Road Safety Strategy, driver, safety, curfews, vehicle power restrictions, DIER, alcohol interlock, |
| 2011 TASCD 249 - REYNOLDS, Chrystal Tina |
Findings, coroner, tasmania, recommendation, recommendations, methadone, amphetamines, cannabis, methadone programme, prescribing guidelines, TOPP, Tasmanian, Opioid Pharmacotherapy Program Policy. |
| 2011 TASCD 212 - CUBIT, Ross Donald |
Coroner, recommendation, Tasmania, drowning, alcohol, intoxication, race, life jacket, 'Storm Boy' yacht, "Pipe Opener", Derwent Sailing Squadron, rough, seas, weather, overboard, PFD, yachtsman |
| 2011 TASCD 206 - WIGGINS, Charles Thomas |
Coroner, recommendations, chainsaw, logging, clear felling, tree, bushman, tree-feller, Gunns, Work Place Standards, WST, safety helmetlogs, slippery, unsafe work practices, training, forest, harvesting, hazardous, Forestry Tasmania. |
| 2011 TASCD 205 - BUENGER, Hans |
|
| 2011 TASCD 204 -BUENGER, Gisela |
|
| 2011 TASCD 2011 - LAWRENCE, Jay Harli |
|
| 2011 TASCD 180 - Baby T |
Findings, coroner, recommendation, safe sleeping, co-sleeping, sids, kids, DHHS, educating, parents |
| 2011 TASCD 175 - HARRIS, Leonie |
Coroner, coronial, magistrate, court, recommendations, missing, downed, boating, |
| 2011 TASCD 174 - HARRIS, John Phillip |
court,magistrate,magistrates,tasmania,australia,courts,coronial, Downed, Missing, Boating, Fisherman |
| 2011 TASCD 172 -ARKINSTALL, Christine Alainie |
|
| 2011 TASCD 171 - BEHREND, Adam Michael |
|
| 2011 TASCD 170 - PEDDER, Danny Allan |
|
| 2011 TASCD 169 - MOORE, Craig Robert |
|
| 2011 TASCD 167 - STEELE, Roger |
Coroner, Royal Hobart Hospital, RHH, ED, Emergency Department, protocols, triage, chest pain, ischaemic heart disease, Myocardial Perfusion Scan |
| 2011 TASCD 166 - ZEWDU DESTA, Desalegn |
Coroner, Tasmania, Cambridge, garbage truck, left hand drive, fatality, recommendations, seat belts, unsafe driveing, negligent driving |
| 2011 TASCD 163 - HOWELLS, Theresa Rachael |
Coroner, hanging, drugs, psychiatric problems, history of self harm |
| 2011 TASCD 152 - CHAPMAN, Lennox Paul |
|
| 2011 TASCD 132 - WAITE, Raymond Frederick |
Findings, coroner, recommendations, recommendation, RHH, Royal Hobart Hospital, fall, X-ray, care, duty of care, DEM, Department of Emergency Medicine, doctor, geriatric, geriatric patients, elderly |
| 2011 TASCD 131 - DAVIES, Joffre George |
Coroner, Magistrate, Hobart, pedestrian, decreased mobility, poor eyesight, crash, unroadworthy. |
| 2011 TASCD 130 -BARDENHAGEN, Guy Anthony |
|
| 2011 TASCD 126 - LEE, Basil Alexander |
|
| 2011 TASCD 125 - HOLLOWAY, Maxine Frances |
Coroners, Findings, Coroner, drugs, drug, overdose, centrelink, pension, quetiapine, depression, paranoid delusions, schchizophrenia |
| 2011 TASCD 121 - BAILEY, Elwyn Aubrey |
|
| 2011 TASCD 115 - MS K |
Coroner, magistrate, Court, swine flu, hospital, Mersey Community Hospital, Ambulance, Tasmania recommendation, Klippel-Feil, autism, flu, H1N1 90, management, patient, delay |
| 2011 TASCD 114 - WILLCOX, Clint Anthony |
Coroner, Findings, motor cycle, racing, endurance, riding, Preolenna, TERC, Tasmania Endurance Racing Club, crash |
| 2011 TASCD 113 - PALECEK, Anna |
Coroner, Tasmania, Hobart, Highway, Pedestrian, crossing, crash, injuries, car |
| 2011 TASCD 070 -WILLIAMS, Sher-Ron Louise |
Coroner, findings, recommendations, Tasmania, Australia, pedestrian, Brooker Highway |
| 2011 TASCD 043 - VALENTINE, David Francis |
Coroner, Coronial, Tasmania, Magistrates, Australia, Mental Health Patient, Bipolar, |
| 2011 TASCD 042 - YOUNG, Jennifer Betty |
Coroner, findings, recommendation, recommendations, overdose, drugs, quetiapine, benzodiazepam, pancreatitis, addiction, prescribed medication. |
| 2011 TASCD 036- DAVIS, Timothy Graham |
Coroner, Coronial, Magistrate, Court, Hobart, Tasmania, life jackets, boat, safety, warning, recomendation, drowning, alcohol, Dover Hotel, RSL, boat size, age of occupants, PFD's, weather conditions, personal floatation devices |
| 2011 TASCD 030 - WILLIAMS, Claire Anne |
Coroner, recommendations, Hobart, recommendation, hospital, nursing home, Freemasons, digitalis, toxicity, RHH, chronic renal failure, digoxin |
| 2011 TASCD 026 - KELTY, Jackson |
|
| 2011 TASCD 025 - DERMODY, Brendan William |
|
| 2011 TASCD 024 - KILBY, Clement Bernard |
|
| 2011 TASCD 023 - STURGESS, Ben Samuel |
Recommendation, coroner, Tasmania, Magistrate, Court, vehicle, 4WD, snatch straps, tow bar, recovery operations, danger |
| 2011 TASCD 01 MCLEOD, Alastair James Douglas |
|
| 2011 TASCD 228 - LITTLEJOHN, Regan Anne |
Coroner, findings, Tasmania, warning, tractor, farm, machinery, agricultural, children, infants, WST, work place standards, risk, danger, preventable, toddler |
| 2011 TASCD 213 - LEE, Duncan Joseph |
Coroner, Tasmania, mental health, mental illness, suicide, drowning, jump, bridge |
| 2011 TASCD 073 - Suicide for Publication |
Recommendation, coroner, Tasmania, Magistrate, Court, Suicide, Firearm, Smoking, Anti Smoking Drug, Champix, Weapon |
| 2011 066 TASCD - JOHN, Glyn Edwin |
Coroner, recommendations, ambulance, tasmania, AT, ladder, fall, domestic duties, home, safety |
| 2010 TASCD 467 - DIABETES |
Coroner, Magistrate, NWRH, North West Regional Hospital, warning, diabetes, hypoglycaemia, medical treatment, Type II diabetes, obese |
| 2010 TASCD 458 - FALL ELDERLY ROOF |
Fall, elderly, roof, coroner, warning, worplace health and safety, ladder, falls |
| 2010 TASCD 423 - Baby J |
|
| 2010 TASCD 421 - Baby R |
Coroner, findings, recommendations, Tasmania, co-sleeping, infant, baby, Child Protection, DHHS, Department of Health & Human Services, baby, SIDS, CPS, alcohol, depression, family violence, suffocation, safe sleeping guidelines, |
| 2010 TASCD 418 - STEIN, Joshua Phillip |
Recommendation, coroner, Tasmania, Magistrate, Court, vehicle, 4WD, snatch straps, tow bar, recovery operations, danger |
| 2010 TASCD 417 - DROWNING M |
|
| 2010 TASCD 416 -BRYANT, Eileen Margaret |
Hospital, coroner, recommendation, TAS, Tas Ambulance Service, fall, medication, care, treatment, Ouse, Amitriptyline, Tranadol |
| 2010 TASCD 413 - CRACKNELL, Dorene May |
Coroner, Magistrate, Court, Tasmania, recommend, recommendations, falls, elderly, hospital, Calvary Health, fall, medical notes, 'falls risk' assessment, health professionals. |
| 2010 TASCD 412 - K. DRUG OVERDOSE |
Coroner, Tasmania, drug overdose, paracetamol, recommendation, warning, overdose, toxicity, venlafaxine, depression, mental illness |
| 2010 TASCD 387 - NICHOLS, Timothy David |
recommendations, coroner, magistrate, LGH, mental health, suicide, hanging, patient, psychiatric, review |
| 2010 TASCD 371 - PARREMORE, Ricky James |
Coroner, Findings, Recommendations, Warning, Hobart, Tasmania, crash, jetty, alcohol, THC, mixed drug intoxication, entrapment, alprazolam, diazepam, oxycodone, methadone, morphine, methylamphetamine, driving, intoxication |
| 2010 TASCD 361 - GREEDY, Judd Robert |
Coroner, coronial, magistrate, court, recommendations, mining, work place standards, WST, findings, Fingal, Cornwall Coal, legislation, mine, fatality, Inspector, Inspector of Mines, |
| 2010 TASCD 342 - SHAW, Albert |
Coroner, Magistrate, Recommendations, Recommendation, fall, elderly, nursing home, care, observation, nurse, nurses, patient, failure to monitor, Stathaven. |
| 2010 TASCD 340 - YOUNG, Luke Andrew |
|
| 2010 TASCD 339 - YOUNG, Julie Rosemarie |
|
| 2010 TASCD 311 - HAYES, Adrian Brian |
Coroner, coronial, magistrate, court, recommendations, mining, work place standards, WST, findings, Fingal, Cornwall Coal, legislation, mine, fatality, Inspector, Inspector of Mines, |
| 2010 TASCD 278 - ROGERS, James Tasman |
Magistrate, Coroner, findings, recommendations, alcohol, sport, government, report, football, cricket, AFL, acute ethanol toxicity, alcohol poisoning |
| 2010 TASCD 277 - GREEN, Mark Leslie |
Magistrate, Coroner, recommendation, alcohol, drinking, ecstasy, cannabis, fall, stairs, warning |
| 2010 TASCD 247 - HEPBURN, Blair Anthony |
Coroner, Magistrate, Hobart, Coronial, recommendation, trampoline, helment, child, asphyxia, entanglement, entangled, bicycle helmet, accident, clothesline |
| 2010 TASCD 246 - PIPKIN, Glenn Patrick |
|
| 2010 TASCD 213 - GUISE, Gabriel Robert Patrick |
|
| 2010 TASCD 212 - GUISE, Mickael Francis |
|
| 2010 TASCD 211 - APPLEBY, Justin Luke |
|
| 2010 TASCD 209 - DEAN, Michael Laurence |
Coroner, Coronial, Court, Magistrate, Drug, Drugs, PTSD, post traumatic stress syndrome, register, general practitioners, doctor, doctors, depression, mental illness, overdose, multiple practitioners, multiple drug toxicity, moclobemide, venlaxafine, zopidone, fluoxetine, oxazepam |
| 2010 TASCD 183 - TSAPOGIAS, Dimitrios |
|
| 2010 TASCD 182 - GARDINER, Royden Shane |
|
| 2010 TASCD 181 - SMART, David Geoffrey |
|
| 2010 TASCD 180 - SMART, Sharon Leigh |
|
| 2010 TASCD 110 - DOODT, Russell Charles |
Magistrate, Coroner, Tasmania, Bicheno, drug, drugs, overdose, suicide, bystander, bystander effect, bipolar, abuse, dependence, benzodiazepine dependence, depression, alcohol, drug toxicity, toxicity, venlafaxine, diazepam, self harm,, Kitty Genovese (1935-1964), psychologist, social, psychoogical phenomenon, John Darley, Bibb Latane, research |
| 2010 TASCD 055 - NA CHAMPASSAK, Luc Ryan |
Coroner, coronial, Hobart, Tasmania, Infant, death, hospital, HPH, Hobart Private Hospital, RHH, Royal Hobart Hospital, recommendations, "the private", neonatal, neonatal intensive care, sudden unexpected death, baby, new born, infant, pneumonitis, pneumonitis from inhaled squamous epithelial cells, bronco-pneumonia,continuous foetal monitoring, syntocinon augmented labours, pediatrician, perinatologist, protocols, observation of newly born infants, birth, examination of new born babies, midwife, midwives, guidelines, documentation, obstetrician, paediatricians, Root Cause Analysis, improved practices. |
| 2010 TASCD 025 - TROTTER, Monty William |
Coroner, coronial, magistrate, Launceston, Court, Train, work, recommendations, safety, recommendation, ANL, train, rail, workplace, health, compliance audits, Rail Safety Regulator, Wagon, repair, Union, Pacific national Tasmania, Safety Notices, recommendations |
| 2010 TASCD 017 - Motor Vehicle Crash |
Magistrate, Court, Investigation, motor vehicle crash, crash, coroner, suicide, findings, Midland Highway, Jericho, truck, mental health, depression |
| 2010 TASCD 001 - COLSON, David James - |
Magistrate, Coroner, Tasmania, Australia, Findings, Recommendations, work, workplace, diving, abalone, safe work practices, sea, Perkins Island, Smithton, commercial fishing industry, hyperthermia, boat, sinking, deckhand, quota, EPRIB, distress flares, failure to carry life jackets, life jackets, training, Coxwain, vessel load, Tasmaia police, training, marine incidents,bilge pump, fitted buoyancy, safety, legislation, searches |
| 2010 TASCD 422 - TRIFFETT, Nicholas Edwin |
|
| 2010 TAS CD 250 - WORK RELATED TRAFFIC |
Findings, Coroner, recommendations, Magistrate, truck, work, Irishtown, crash, bolt, bolts, |
| 2010 TAS CD 248 - SMITH, Neville Robert |
Magistrate, Court, Coroner, Tasmania, drowning, recommendation, Couta Rocks, Arthur River, drown, life jacket, cray pot, inflate life jacket, failure |
| 2010 TAS CD 245 - CRACK, Jesse Roy |
|
| 2009 TASCD 357 - Infant |
|
| 2009 TASCD 250 - Motor Vehicle Crash |
Coroner, Magistrate, Court, Coronial, driver, drinking, alcohol, high blood alcohol concentration, RSA, responsible service alcohol, 'P' plater, provisional licence, road, DIER, hospitality industry |
| 2009 TASCD 25- KNIGHT, Larry Paul - Coronial Findings and Recommendations |
Larry Paul KNIGHT, inquest, inquest findings, mining, hard rock, rockfall, Beaconsfield, mine collapse, ground support, workplace death, workplace standards |
| 2009 TASCD 234 - Motor Vehicle Crash |
Tasmania, Margate, Coroner, Coronial, Magistrate, recommendation, motor vehicle crash, recommendations, driver, truck, volvo, key, keys, ignition, Nissan, Datsun, disengage engine, safety, keys in ignition, dangerous, steering, education, mechanics |
| 2009 TASCD 216 MARTINEZ, Josue Jonathan Francisco |
motor vehicle crash - fatal - police officer - excessive speed |
| 2009 TASCD 147 - PROPOSCH-QUARRELL, Francis |
Magistrate, Tasmania, Australia, Coroner, Coronial, hospital, surgery, dangers, warning, lab band, weight reduction, hospital, RHH, Hobart Private Hospital, Doctor, operation |
| 2009 TAS CD 239 - MYER FIRE |
|
| 2009 154 TASCD - FALLS - ELDERLY |
Court, Magistrate, Hobart, Tasmania, Coroner, Coronial, recommendations, falls, elderly, personal alarms, personal protection, alone, home, old, fracture, neck of femur, RHH, failure to report death, Royal Hobart Hospital. |
| 2008 TASCE 116 - PEARCE, Evan Redmond |
Magistrate, Coroner, Tasmania, crash, recommendations, alcohol, "p" platers, license, drivers, speed, alcohol, peer passengers, vehicles, restriction, parental supervision, inexperience, drivers, inexperienced drivers, offender, offender drivers, education, |
| 2008 TASCD 248 - DROWNING |
Coroner, Coronial, Magistrate, Court, Hobart, Tasmania, life jackets, boat, safety, warning, recomendation, drowning, alcohol, Dover Hotel, RSL, boat size, age of occupants, PFD's, weather conditions, personal floatation devices |
| 2008 TASCD 187 to 190 - SIDS |
Magistrate, Court, Tasmania, Australia, Coroner, Coronial Coroners, recomendation, recommendations, SIDS, sudden infant death, death, infant, recommendations, alcohol, bed, bedding, sleeping, co-sleeping, smoke, cigarette, cigarrettes, tri-pillows, overlaying, bedding, bed sharing, prematurity, low birth weight, paediatric, paediatrician, asphyxia, safe sleeping practices, training package, hospital, education, SUDI, training, guidelines |
| 2008 TASCD 140 - PEARCE, Sidney Thomas |
|
| 2008 TASCD 139 - LISTER, Matthew David |
|
| 2008 TASCD 138 - JONES, Jarrod Keith |
|
| 2008 TASCD 106 - Intentional Firearm |
Coroner, Magistrate, Hobart, Tasmania, suicide, gun, guns, hospital, doctor, medication, recommendation, Launceston, Launceston General Hospital, Ward 1E., recommendations, recommendation, hopsital, treatment, depression, general practitioner, psychiatrist, review process, DEM, department of emergency medicine, mental health, mental health patients, rifle, gun safe, safety, patient, written records, hospital records |
| 2008 TASCD 036 - DRUG OVERDOSE |
Magistrate, Court, Tasmania, Coroner, coronial, Finding, Findings, drugs, prescription, prescribing, overdose, accidental, open, recommendations, recommendation, misunderstanding, propoxyphene, community, addiction, pharmacological, protocols, medical practitioners, prescribing, standance, dependence, oxycodone, morphine, Diazepam, floxetine, pain killers, |
| 2007 TASCD 372 - Drownings Hippolyte Rocks |
Magistrate, Court, Coronial, Australia, Tasmania, Drowning, hypothermia, fishing, competition, tuna, EPIRB, recommendation, bravery, weather conditions, bad weather |
| 2007 TASCD 361 - PUGH, Stephen Montague |
|
| 2007 TASCD 360 - WRATHALL, Andrea Lee |
|
| 2007 TASCD 306 - Motorised Scooters |
Court, Magistrate, Tasmania, Coroner, Coronial, warning, recommendation, safety, licensing, scooter, motorised scooter, disability, elderly, |
| 2007 TASCD 300 - Motor Cycle |
Coroner, Coronial, Magistrate, Tasmania, motor cycle, speed, alcohol, police, pursuit, warning, death, serious injury, psyhsical, protection, licensing, license, safety, public campaigns |
| 2007 TASCD 292 - DROWNING |
Coroner, recommendation, warning, tasmania, australia, dam, child, children, drown, drowning, safety |
| 2007 TASCD 261 - Binge drinking |
|
| 2007 TASCD 204 - Cyclist |
Coroner, Coronial, Burnie, warning, court, courts, magistrate, Tasmania, Australia, bicycle, parent, parental supervision, supervision, children, riding, danger, child, bike |
| 2007 TASCD 163 - Wheelchair |
Magistrate, Court, Coroner, Coronial, Tasmania, Australia, aged care, nursing home, wheelchair, maintenance, mobility, duty of care, nursing home, safety, fall, equipment, bald tyres, aspiration pneumonia, contusion, |
| 2007 TASCD 061 - Methadone |
Court, Tasmania, Australia, Coroner, Coronial, Recommendation, drug, drugs, methadone, IV lung, methadone programme, injecting, morphine, intravenous, MS Contin, Anamorph, DHHS, Alcohol and Drug Service, Tasmanian Methadone Policy 2000, dosage, benzodiazepines, morphine, patient, Xanax |
| 2007 TASCD 004 - Home Maintenance Hazards |
Tasmania, Court, Magistrate, Australia, Coroner, Coroners, Recommendation, Recommendations, fall, scaffolding, work, maintenance, plank, house, ladder, bracket, height, Australian, Standards, unsafe, equipment, |
| 2006 TASCD 414 - ALCOHOL/DROWNING |
Magistrate, Court, Tasmania, Australia, Coroner, Coronial, Findings, Investigation, recommendation, drowning, alcohol, drown, wharf, hotel, licence, drunk, responsible serving of alcohol, accidental, intoxication, intoxicated, fall, water, river, Derwent River, marina, mooring lines, jetty, Tasports, drunk |
| 2006 TASCD 213-217 - ROUNDHILL FATALITIES |
court, coroner, magistrate, Tasmania, Australia, recommendations, motor, vehlicle, accident, fatality, deceased, car, weather, injuries, Bass Highway, Burnie, Round, Hill, road, Commodore, Armco railings, T-Bone, D.I.E.R, median strip barrier, protective barrier, slippery, speed, warning lights, resealing, Camry, Pajero, accident |
| 2006 TASCD 149 - Infant |
court, magistrate, magistrates, tasmania, australia, courts, coronial, infant, baby, bed-sharing, sudden, infant, death syndrome, co-sleeping, recommendation, warning, paediatric, committee, unsafe, sleeping, environment, sofa, beanbag, waterbed, sagging, mattress, overlaying, alcohol, drugs, doonas, smoker, cigarette |
| 2006 TASCD 132 - Motor Vehicle Accident |
|
| 2006 TASCD 104 - Intentional Overdose |
Magistrate, Coroner, Coronial, coroners, magistrates, court, Hobart, Tasmania, hospital, recommendations, ambulance, police, Royal, Hobart, Hospital, RHH, overdose, drugs, osteoporosis, self-administered, drug, memorandum, understanding, guidelines, reportable, deaths, protocols, destruction, patient, medication, narcotic, narcotics, opiates, department of emergency medicine, DEM, BENZODIAZEPINE, OPIATE, TOXICITY, |
| 2006 TASCD 016 - RESPONSIBLE SERVING OF ALCOHOL |
court, magistrate, magistrates, tasmania, coroner, courts, alcohol, student, fall, university, head, injury, intoxicated, tripped, fractured, skull |
| 2005 TASCD 99 - OVERDOSE |
court,magistrate,magistrates,tasmania,australia,courts,coronial,COAD,methadone,drugs,trimipramine,medication,danger |
| 2005 TASCD 482 - SKATEBOARD |
Coroner, magistrate, court, magistrates, Tasmania, Australia, recommendations, deceased, alcohol, skateboard, hill, road, zigazgging, speed, speed wobbles, fell, struck, head, protective, helmet, |
| 2005 TASCD 182 - DIABETES |
court,magistrate,magistrates,tasmania,australia,courts,coronial,Hospital,Latrobe,Student,insulin,diabetes,education,hypo,low blood,sugar level,paediatric,endocrinologist,thiamine,deficiency,hypoglycameia,syndrome,QT,Brugia |
| 2005 TASCD 125 - CAFASSO, Victoria Anna Elizabeth |
court,magistrate,magistrates,tasmania,australia,courts,coronial, multiple stab wounds, public assistance, rendered unconscious, brutally murdered, Beaumaris Beach, DNA, Tasmanian Police, Commissioner McCreadie, Deputy Commissioner Johnston, Italian/English citizen, British passport, University in Itay, Portsmouth University, Launceston, Larby's Cottage, Scamander, St Helens, Midlands Highway, Freshwater Creek, Crime Scene, attacked, stabbed, lacerated, bludgeoned, blunt object, pointed object, knife, Royal Hobart Hospital |
| 2004 TASCD 371 - ATV September 2003 |
court,magistrate,magistrates,tasmania,australia,courts,coronial, ATV September 2003, Terrain, Vehicles, safety |
| 2004 TASCD 182 - GRUNWALDT, Nancy |
court,magistrate,magistrates,tasmania,australia,courts,coronial,missing,foul,play,dissappeared |
| 2002 TASCD 591 - MARGARET J |
court,magistrate,magistrates,tasmania,australia,courts,coronial,margaret j,life raft, search,rescue,EPIRB,weather |
| 2001 TASCD 80 - LONG, Fabian Guy |
court,magistrate,magistrates,tasmania,australia,courts,coronial,custody,prison,corrections,suicide,hanging,towel,rail,sheet, |
| 2001 TASCD 79 - SANTOS, Laurence Colin |
court,magistrate,magistrates,tasmania,australia,courts,coronial,custody,prison,corrections,depressed,respiration; schizophrenia; clozapine,Jager, prescribed, side,effect,drug,accidental,psychiatrists,monotoring, |
| 2001 TASCD 78 - NEWMAN, Jack |
court,magistrate,magistrates,tasmania,australia,courts,coronial,custody,prison,corrections,hanging,shoe,lace,air,vent,Jager,mental,health,detainee,suicide |
| 2001 TASCD 77 - HOLMES, Thomas Patrick |
court,magistrate,magistrates,tasmania,australia,courts,coronial,custody,prison,corrections,hanging,hospital,shoe,lace,grill,mental,illness,suicide |
| 2001 TASCD 76 - DOUGLAS, Chris William |
court,magistrate,magistrates,tasmania,australia,courts,coronial,custody,prison,corrections,hanging,cord,suicide |
| 2001 - Deaths in Custody |
court,magistrate,magistrates,tasmania,australia,courts,coronial,custody,prison,corrections |
| 1997 TASCD 450, 451, 452, 453, 454 SHOOBRIDGE, Rebecca Rose Oakley Sara Francise Oakley Anna Josephine Oakley Georgina Rose Oakley Peter Robert |
|
| 172 TASCD 2013 - Walker, Frances Victoria |
Findings, Coronial Division, Magistrates Court of Tasmania -Cardia Arrest, Acute on chronic renal failure, femur fracture of neck, fall, blunt force |
| 171 TASCD 2012 - BLAKE, Hannah Maree |
|
| 157 TASCD 2013 - Mr T |
Findings, Coronial Division, Magistrates Court of Tasmania -firearm, injury to head, shotgun, firearm, weapon, shot by firearm |
| 155 TASCD 2013 - JENKINS, Nita Joan |
Findings, Coronial Division, Magistrates Court of Tasmania - Fatal arthymic cardiac event, ischaemic heart disease, pulmonary, fatty liver, heart failure, annemia, health care |
| 144 TASCD 2013 - Mr W |
Findings, Coronial Division, Magistrates Court of Tasmania -cerebral trauma, depression,rifle, weapon, firearm, shot by firearm |
| 101 TASCD 2013 - Master B |
Magistrates Court, Coronial Division, Bicyle, Blunt Traumatic Injuries, Motor Vehicle, transport injury, pedal cyclist |
| 078 TASCD 2013 - BARNES, Janice Zoey |
Findings, Coronial Division, Magistrates Court of Tasmania -Sepsis, bacterial infection of the blood, ischemic colitis |
| 078 TASCD 2011 - GREGSON, Kellie Maree |
Coroner, Tasmania, crash, accident, passenger, criminal charges, dangerous driving, collision, Tea Tree, negligent driving. |
| 060 TASCD 2013 - BARTLE, Terry Charles |
Coroner, findings, Product related, Gas, Fridge, Carbon Monoxide Toxicity, Caravan |
| 059 TASCD 2013 - Williams, Matthew Keith |
Coroner, findings, Product related, Gas, Fridge, Carbon Monoxide Toxicity, Caravan |
| 058 TASCD 2013 - WILLIAM, Rodney Alan |
Coroner, findings, Product related, Gas, Fridge, Carbon Monoxide Toxicity, Caravan |
| 057 TASCD 2013 - BUDD, Arthur John |
|
| 054 TASCD 2015 - SAUNDERS, Craig Steven |
|
| 2013 TASCD 422 - GLANCY, Susan Helen |
Coroner, Driver, travelling to work, crash |
| 2013 TASCD 421 - FYLE, Shirley Lorraine |
Coroner, truck, pedestrian, DeBruyns |
| 2013 TASCD 153 - Mr K - |
Findings, Coronial Division, Magistrates Court of Tasmania -gunshot, wound of head, weapon, firearm, rifle, piercing, shot by firearm |
| 2013 TASCD 100 - MS M |
Coroner, Tasmania, overdose, drugs, mixed drug intoxication |
| 2012 TASCD 231 - NICHOLS, Ian David |
|
| 2012 TASCD 028 - LYALL, Jakyung Seo |
|
| 2012 TASCD 013 - MILLER, Normal Leslie - |
Coroner, finding, recommendation, mental health, fire, criminal, prison |
| 2011 TASCD 414 -TEMPLER, Bryan Eldred |
Coroner, recommendations, smoking, elderly, fire, oxygen, fire training, smoking policy elderly |
| 2011 TASCD 388 - MARSHALL, Donald John |
Drowning, cray fishing, Cape Portland, fisherman, Fosters Island, 'Florence' |
| 2011 TASCD 318 - MR M |
overdose, hospital, RHH, Royal hobart Hospital, DEM, mixed drug toxicity, propranolol, venlaxafine, nortriptyline, cardiac conduction pathway, recommendation, patients, Mental Health Act, ED, National Clinical Handover Initiative, |