Inquest findings (since 2004) as well as non-inquest public interest matters (since 2012) are available below. The extent of works is over a length of approximately 2.1km of Glenfern Road. Because of this there may be limitations on where and how images and indexes are available or who can see them. Search by Case Name. He developed a scope of works and issued a Request for Quotation to civil contractors in December 2020 with the following overview of works required: The unsealed section of Glenfern Road has a higher than average incidence of casualty crashes including a fatality in recent years. Response fromDe Bruyn's Transport 23 July 2022, Recommendation 1: Rollover Awareness and Training. Transport and traffic related, St Helens, Coroner's finding, joint inquest, child and infant death, youth, transport and traffic related, Child Safety Services, Department of Communities, Tasmania, child protection systems, Sudden Unexpected Death in Infancy, co-sleeping, drowning, motor vehicle crash, exposure to risk, Drowning, River Derwent, Mental Illness and Health, Child and Infant Death, Sepsis, Royal Hobart Hospital, motor vehicle accident, transport and traffic related, epilepsy, suspended licence, medically unfit to drive, driving unlicenced, Risdon Road. In some inquests recommendations launch are made to Ministers and Government and non-government agencies. Please don't include personal or financial information here, Inquest into the death of Bronwynne RICHARDSON, Inquest into the death of Liselle HOUBERT, Inquest into the discovery of unidentified skeletal remains located at St Albans, Inquest into the death of Donald GREENAWAY, Inquest into the death of Timothy MOFFATT. Please consider that it may be upsetting to read details about a death in an inquest finding. A Health Practitioner's guide for writing a statement for the Coroner. 9:56pm Feb 24, 2023. Surgical Complications, Royal Hobart Hospital, Calvary Hospital. Supreme Court Act 1935; District Court Act 1991; Environment, Resources & Development Court Act 1993; Magistrates Court Act 1991; Youth Court Act 1993 A Health Practitioner's guide for writing a statement for the Coroner. Transport & Traffic Related, Motor Vehicle Crash, Traumatic Injuries, Crash Investigation, East Tamar Highway, Inattention, Wire Rope Barrier. the details needed to register the death with the Registry of Births, Deaths and Marriages. Intentional self-harm, mental illness & health, Royal Hobart Hospital, Clarence and Eastern Districts Adult Community Mental Health Service, Statewide Mental Health Services, Department of Psychiatry Open Unit, suicidal ideation, suicidal crisis, K Block, anti-ligature amenities, intentional self harm, suicide, mental health and illness, mixed prescription drug toxicity, amisulpride, diazepam, mirtazapine, Tasmania Ambulance Service, delay in dispatch of ambulance. The coroner may comment and make recommendations about public health or safety, or the administration of justice, to help prevent similar deaths and incidents from happening again. Intentional self-harm, mixed drug toxicity, overdose of prescription medication, criminal sexual misconduct, criminal charges, toxicological analysis, Launceston General Hospital. Sand flags are stored for easy access/attachment when field centre vehicles are accessing the tracks. Home It is appropriate and timely to review the Model, which is an integral part of our policing strategy, said Acting Deputy Commissioner, Donna Adams. With the reduced scale of the guard rail installation and favourable rates for the benching and vegetation reduction, the total cost requested from the grantor is $80,086.42, Updated response provided by THS South 14 October 2022. Signage has been installed at the entrance to Sandy Cape Track (Temma) and the Arthur Beach Track (Gardiner Point, Arthur River): Quick release adaptors for sand flags were attached to all operational vehicles in the Field Centre likely to operate on the track. During weekdays in business hours, transport can be arranged for the patient to be picked up at the airport and returned home if friends/relatives are unavailable. The Coroner's Office arranges for members of the Australian Federal Police to investigate the circumstances surrounding the death of a person and to provide a report to the Coroner. This page was last edited on 15 September 2022, at 08:56. Response from Tasmania Health Service Statewide and Mental Health Services received 8 March 2022. In her long-awaited written findings, Deputy State Coroner Sarah Linton found there was a chance Aishwarya's life might have been saved with proper treatment. Older persons, physical health, subdural haematoma, mechanical fall with head strike, Launceston General Hospital, George Town Hospital. abc.net.au/news/kirra-lea-mcloughlin-coronial-inquest-findings/100194632 A coroner has found that a 27-year-old woman, whose death has been unsolved for almost seven years, lost her life at the hands of her de facto partner, describing him as a "habitual perpetrator" of domestic abuse. 2021 | Department of the Attorney-General and Justice Coronial, traumatic closed head injuries, motor vehicle crash, decision not to hold inquest, supervision order, Criminal Justice (Mental Impairment) Act 1995, Royal Hobart Hospital, aspiration pneumonia, coronial, coroner, suicide, stab wounds, neck and incised wounds to wrists, Older Persons, Falls, Aged Care, Medical Certificate Cause of Death, Coroner's Finding, Physical Health, long term missing person, undetermined cause of death, Knocklofty Reserve, child death, asthma, North West Regional Hospital, misdiagnosis, incorrect diagnosis, substandard medical treatment, Tasmanian Health Service, medico legal, Coroner's comments, Asthma Australia, Inquest, re-investigation, work related, transport & traffic related, truck driver, De Bruyns, prime mover, laden fish tanker, fish run, Esperance Coast Road, rollover, crash, training, frame rise, air suspension, recommendations, hypoxic brain injury, epilepsy, seizure, Royal Hobart Hospital, Nexus supported living, Coronial, treatment order, ischaemic heart disease. Updated response provided by THS - South 14 October 2022, RHH complies with the state record policy with regard to retention of records, In recognition of the deep history and culture of this Island, we would like to acknowledge and pay our respects to all Tasmanian Aboriginal people; the past and present custodians of the Land. When the cause of death is unknown or seems unnatural, a judicial officer, known as a coroner, is involved to determine certain information. This page has been viewed 7,041 times (569 via redirect). Our Safe Operating Procedure for this specific task along with our Risk Register and our weather related guidance were all updated some time ago. CITATION: Inquest into the death of HD (name suppressed) [2021] NTLC 029 . To access a finding not listed here, please makeapplication (DOC , 61.5 KB)to the Court. Intentional self-harm, mental illness & health, suicidal ideation, weapon, partial contact range gunshot wound of the head, psychiatrist, Department of Psychiatry, Guardianship and Administration Board, Firearms Act 1996. Identifying your sources helps others find the records you used. A recent meeting with the Director of Nursin at the King Island Health service and Senior Nursing staff of the North West Regional Hospital clarified the process surrounding the discharge of patients from Spencer Clinic Inpatient Ward to King Island. Safety assessments of driver performance not only occur at the end of probation but are undertaken on an ongoing basis. The Coroner has prepared comprehensive and considered findings and they will be given careful . Two of three deaths at Copper Mines of Tasmania 'avoidable', coroner finds Two of three deaths at Copper Mines of Tasmania 'avoidable', coroner finds By Loretta Lohberger Posted Thu 17 Jun 2021 at 7:29pm The three deaths at the Copper Mines of Tasmania's site occurred within six weeks of each other. We often utilise telematic data for this process as well as timesheet reviews, camera evidence and even road user and customer anecdotal feedback. Aged care, falls, older persons, physical health, closed traumatic head injury, Bishop Davies Court, Extended Care Assistant, enrolled nurse, Franklin Unit, nightly checks, delayed care. TITLE OF COURT: Coroners Court . Council Building, Daly River, Angel Blanco-Puerto, Phillip Lindsay, Barry Gaykamangu and Hannu Kononen, Erfinna Patricia Lay and John Weston Quirk, Raymond Curtain, Terrence Westwood, Gerald Thompson, Gregory Westerman, Graham Dearden and Ruth Vincent, Kumanjay Presley, Kunmanara Coulthard and Kunmanara Brumby, Jade Lange-Loades, Rory Lange-Loades and Nathaniel Rose, Glen Anthony Huitson and Rodney William Ansell, Matthew Neck, Amanda Bell and Matthew Batson, Gary Peter Tipungwuti, Patrick Raymond Kerinauia, Noeline Pauantulura, John Gerard Orsto, T. Okano, A. Kabe, T. Linklater and K. Pritchard (Cannonball Run). Long Term Missing Person, D'Entrecasteaux Channel, Probable Drowning, Water Related, Coroner's, Coronial, Motor vehicle Crash, Blunt Traumas Injury to the head, lost control, seat belt, Adverse Medical Effects, Acute Gastrointestinal, Hobart Private Hospital, Royal Hobart Hospital, Child & Infant Death, Falls, Geographic, Leisure Activity, Conservation Area. Leisure activity, transport & traffic related, weather related, aircraft crash, private airfield, windsock, coroner's comment & recommendation, Transport and traffic related, weather related, motor vehicle accident, truck, speed, wet weather, improved roadway, advisory signage, Glengarry, aged care, older persons, fall from cliff, possible drowning, Derwent Waters, retirement village, Claremont, undetermined circumstances, Falls, leisure activity, older persons, Mersey Community Hospital, infection, avoidable, Root Cause Analysis, misdiagnosed, Adverse medical effects, Coroner's comment, operation, George Town Hospital, Launceston General Hospital, St. Vincent's Public Hospital, surgery, laparoscopic cholecystectomy, Adverse medical effects, older persons, reversal of Hartmann's procedure, post-operative complications, electrocardiogram, long QT syndrome, St Luke's Hospital, Launceston General Hospital, recommendation, Aged care, falls, older persons, Coroner's comment, bed alarms, Adverse medical effects, falls, leisure activity, older persons, Launceston General Hospital, LGH, undetermined cause of death, mental health and illness, Ambulance Tasmania, Mental Health Services, transport and traffic related, single motor vehicle crash, multiple chest injuries, failure to wear seatbelt, intoxicated, drink driving, drugs and alcohol, coroner's comments, Drowning, leisure activity, fishing, water related, weather related, winter, alcohol related, child and infant death, sudden unexpected death in infancy (SUDI), co-sleeping with parents, potential overlay whilst sleeping, sleeping in adult bed, smoking, unsafe sleeping environment, bronchopneumonia, Child Safety Services, Child Protection Services, Child and Youth Services, Drugs & Alcohol, Transport & Traffic Related, Motor Vehicle Accident, Speeding, Collision, Distraction, Orford, Learner Licence, water related, multiple injuries, personal water craft (PWC), jet ski, Chinaman's Bay, Dunalley, alcohol and drugs, operating a PWC whilst intoxicated, collision with stationary object, Traffic and transport related, youth, single vehicle motorcycle crash, blunt injuries of head, neck and chest, loss of control, sweeping turn, Strathaven Drive Rosetta, transport and traffic related, motor vehicle crash, Longford, Illawarra Road, methylamphetamine, cannabis, driving under influence of illicit substances, Drugs and alcohol, mental illness and health, mixed drug toxicity, respiratory arrest, methadone, diazepam, coroner's finding, coroner's comment, Transport & traffic related, car crash, older persons, Aged care, nursing home, fall, older persons, dementia, person held in care, Royal Hobart Hospital, Roy Fagan Centre, Public Guardian, guardianship order, medical review, Coroner's comments, Missing person, LTMP, unknown cause of death, bones, Launceston, Transport & traffic related, motorcycle crash, blunt force trauma, crash investigation, speed, unroadworthy, Electrocution, work related, Residual Current Devices, portable defibrillator, Coroner's finding, Coroner's recommendation, Coroner's comment, Natural cause death, location, West Tamar Highway, Lanena, older persons, physical health, The Public Trustee, Fall, work related, pulmonary thromboembolus, left medial malleolar fracture, anti-coagulation, risk of DVT and PE, coroner's finding, coroner's comment, Ladder fall, traumatic closed head injuries, working at height, training, home building site, recommendations, Workplace Health and Safety Act 2012, Missing person, water related, recreational fishing, suspected death, disappearance, Transport & traffic related, single vehicle crash, learner's licence, unlicenced, unroadworthy, wet conditions, speed, child survived, crash investigation, Coroner's comments, undetermined cause of death, missing person, Glen Huon, Coroner's finding, coroner's recommendations, gunshot wound, law enforcement, mental illness & health, weapon, police provoked shooting, Tasmania Police, Transport & traffic related, alcohol, drink driving, excessive speed, speeding, mobile phone usage, texting, single vehicle crash, unroadworthy, asphyxia, Turners Marsh, failure to wear seat belt, coroner's comments, adverse medical effects, hospital death, Mersey Community Hospital, sepsis, failure to remove intravenous cannula, Coroner's finding, water related, transport & traffic related, blunt force trauma with brain injury, leisure activity, misadventure, PWC, unlicensed and inexperienced PWC operators, Lake Trevallyn Dam, Tasmanian Jet Sport Boating Club, Coroner's finding, long-term missing person, older person, undetermined cause of death, body not located, North-West Tasmania, transport and traffic related, single motor vehicle crash, excessive speed, driving over speed limit, Lilydale, Homicide, murder, assault, stabbing, Devonport, Transport & traffic related, motor vehicle accident, pneumonia, older person, undiagnosed cervical spine fracture, guidelines, Royal Hobart Hospital, transport and traffic related, mobility scooter crash, single vehicle crash, no helmet, loss of control, Falls, older persons, closed head injury, left frontal/temporal subdural haematoma, anticoagulation, reverse anticoagulation protocol, Coroner's finding, Coroner's recommendation, alcohol and drugs, mixed alcohol and drug toxicity, unintentional, Amlodipine, drug interaction, Burnie, Silver Whisper cruise ship, Intentional self-harm, Mental illness & health, older persons, Mental Health Act 2013 (Tas), Mental Health Treatment Order, person held in care, community services, transport and traffic related, motor vehicle accident, two vehicle crash, multiple traumatic injuries, drugs and alcohol, alcohol intoxication, blood alcohol over legal limit, cannabis, Lauderdale, water related, drowning, scuba diving, rebreather, rebreather apparatus, displacement of mouthpiece, Visscher Island, Drowning, water related, Ansons Bay, Coroner's comments, lifejackets (PFDs), lifejacket inflation process, boat maintenance, MAST, boating safety, Drowning, water related, Coroner's comments, lifejackets (PFDs), lifejacket inflation process, boat maintenance, MAST, boating safety, transport and traffic related, motor vehicle collusion, two vehicle crash, failure to take care when overtaking, prime mover, sedan, Bass Highway, Deloraine, multiple injuries, Adverse medical effects, physical health, pulmonary embolism, deep vein thrombosis, prophylactic anticoagulant, Achilles tendon rupture, coroner's finding, coroner's comment, motor vehicle crash, transport and traffic related, Mornington, South Arm Highway, excessive speed, negligent driving, Traffic Act 1925, intentional self harm, mental illness and health, death in a public place, Tasman Bridge, Royal Hobart Hospital, Mental Health Act 2013 (Tas), decision not to involuntarily detain, Transport and traffic related, physical health, heart disease, positional asphyxia, workplace, coroner's finding, coroner's comments, transport and traffic related, motor vehicle accident, motorcycle accident, loss of control, traumatic injuries of head and chest, Kalang Avenue, Transport and traffic related, multiple blunt traumatic injuries, two-vehicle collision, West Tamar Highway, coroner's finding, transport and traffic related, single motor vehicle accident, motorsport, rally car, Scottsdale Classic Rally, Confederation of Australian Motor Sport Ltd, breach of National Rally Code, Transport and traffic related, motorcycle and motor vehicle crash, head-on collision, incorrect lane, multiple traumatic injuries, alcohol, coroner's finding, Transport and traffic related, motor vehicle crash, Domain Highway, multiple blunt injuries, drowning, capsize of boat, Marion Bay, Narrows channel, MAST, marine safety, water related, transport related, manslaughter, assault, subarachnoid haemorrhage, comments on passing sentence, Criminal Code, Transport and traffic related, single motorcycle crash, loss of control, chest and abdominal injuries, drugs and alcohol, unroadworthy, coroner's finding, Transport and traffic related, motorcycle crash, multiple traumatic injuries, drugs and alcohol, lost control, speed, unregistered and unlicensed, rear brake lock, coroner's finding, Drowning, Frederick Henry Bay, transport & traffic related, water related, PFD, boat licence, second hand boat inspection, Coroner's finding, Coroner's recommendation, Coroner's comments, Adverse medical effects, escherichia coli urosepsis, sepsis, kidney stone surgery, launceston, transport and traffic related, single motorcycle crash, Smithton, school zone, excessive speed, un-roadworthy vehicle, drug and alcohol, methamphetamine, Transport and traffic related, motorcycle and vehicle crash, blunt traumatic injuries, overtaking, following too closely, poor riding, coroner's finding, Transport and traffic related, motorcycle and vehicle crash, chest injuries, incorrect side of road, cornering technique, crosswinds, high risk of death, coroner's finding, transport and traffic related, single vehicle crash, motorcycle crash, multiple injuries, loss of control of vehicle, alcohol and drugs, blood alcohol level over legal limit, cannabis (THC), excessive speed, Transport and traffic related, motorcycle and motor vehicle crash, speed and alcohol, diffuse head injury, unroadworthy, coroner's finding, coroner's comment, missing person, suspected intentional self harm, undetermined cause of death, body not located, Bakers Beach, northern Tasmania, coroner's comments, ruling on evidence, whether evidence within scope of inquest, adolescent mental health, Tasmania, Liam Mead inquest, Coroners Act 1995 (Tas), adverse medical effects, hospital related death, Calvary St Luke's Hospital Launceston, reportable death, failure to report death, no post mortem performed, undetermined cause of death, homicide, assault, asphyxia, Bridgewater, Darren Dobson, strangulation/choking, coroner's recommendations, recommendation of enactment of indictable offence of choking, suffocation or strangulation, Two vehicle collision, transport and traffic related, multiple injuries, coroner's finding, Aspiration of gastric contents following vomiting, aged care, mental illness and health, older person, coroner's finding, inquest, child and infant death, global hypoxic brain injury, cessation of breathing, family violence context, non-accidental injury, rib fractures, transport and traffic related, intentional self harm, head injuries, mental health and illness, driver, intentionally driving into path of oncoming vehicle, Latrobe, Transport & traffic related, motorcycle and car collision, alcohol & drugs, Brooker Highway, Hanging, intentional self-harm, mental illness and health, drugs and alcohol, Coroner's finding, hypothermia, Overland Track, Lake St Clair, Parks and Wildlife Service, coroner's recommendations, bushwalker, winter inadequately equipped, transport and traffic related, single motor vehicle crash, Bass Highway, failure to wear seatbelt, alcohol, drink driving, driving over the limit, blood alcohol level of 0.157, speeding, failure to drive at speed limit, coroner's comments, Coroner's finding, transport & traffic related, motorcycle crash, multiple injuries, Drowning, water related, coroner's finding, fishing vessel, dinghy capsize, Coroner's finding, coroner's recommendation, head and chest injuries, Metro, pedestrian struck by bus, transport & traffic related, Mixed drug toxicity, serotonin syndrome, sertraline, tramadol, SSRIs, drugs & alcohol, coroner's finding, hospital death, abdominal aortic aneurysm (AAA), Royal Hobart Hospital, chimney vascular repair procedure, advanced coronary artery and peripheral vascular disease complicating repair, Urosepsis, pyelonephritis, lissencephaly, Royal Hobart Hospital, UTI, incorrect diagnosis, coroner's finding, coroner's recommendation, hospital related death, adverse medical affects, Smithton District Hospital, ischaemic small bowel, bowel obstruction, Crohn's disease, Coroner's finding, coroner's recommendations, adverse medical effects, PPI, gastrointestinal bleed, death review, Pulmonary thromboemboli, deep vein thrombosis, hip replacement, physical health, Coroner's finding, hospital death, Royal Hobart Hospital, Hobart Private Hospital, colonic cancer, hemicolectomy, sepsis, delayed diagnosis, workplace death, work related, transport related, farming property, motorcycle crash, use of motorcycles on private property, single vehicle crash, unroadworthy and unsafe vehicle, no working brakes, neurocardiogenic syncope whilst driving, Industrial accident, blunt force, blunt trauma, pedestrian, hit by utility vehicle, chest and abdomen. Works were completed and reported to the grant program on 30 June 2021. Transport & traffic related, single motor vehicle collision, car crash, Glenfern, Derwent Valley Council, recommendations. CORONIAL LAW - cause and manner of death - medical care and treatment of long-term mental health patients - prescribing of anti-psychotic and sedative . Coroners Court Coronial Findings 2022-2023 Coronial Findings 2019-2021 Coronial Findings 2016-2018 Coronial Findings 2013-2015 Information for families Coronial Practice Handbook Tasmanian Suicide Register Contact the coroner's office Frequently Asked Questions A Health Practitioner's guide for writing a statement for the Coroner. We acknowledge the traditional owners and custodians of the land on which we work and we pay respect to the Elders, past, present and future. The page has been produced by Courts Tasmania, Search the Supreme Court of Tasmania database, personal information protection statement. Coronial, stairs, step, fall, head injuries, blunt force. The original records are located in the Tasmanian Archives and Heritage Office in Hobart, Tasmania. Our intention now is to broaden this process by utilising our recently recruited Driver Trainer to provide programmed in cab refresh sessions and assessments (similar, in many respects, to what pilots undertake now). A grant from the Department of State Growth Safer Rural Road Program was secured on 23 March 2021 for: Vegetation reduction, site benching works, installation of guard rails and signage at Glenfern Road. Aishwarya Aswath inquest: Coroner's findings delivered in girl's Perth information and interpreting coronial determinations and findings regarding intent. traumatic brain injury, homicide, Mitchell Clay Dowling, Jay David Blazely, one punch death, assault, 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, death in care, Mental Health Act 2013, mental health order, Millbrook Rise Centre, asphyxia, choking on food, supervision of meals, transport and traffic related, motor vehicle accident, two vehicle crash, Lebrina, 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. Coroners Findings Archives - CAA Citations help you keep track of places you have searched and sources you have found. Motorcycle crash, motorbike, youth, de-identified, transport & traffic related, fence post, avid motocross & enduro competitor, well-maintained & appropriate safety equipment, abdominal trauma, reminder of supervision, Homicide & assault, missing person, murder, failing to report killing, accessory after the fact, hammer, Ian Rosewall, Renae Donald, Robert Broad, imprisonment. You are directed to the disclaimer and copyright notice and a Personal Information Protection statement governing the information provided. Who attends an inquest Coroner and lawyers. For all conditions of entry, read the COVID 19 (Coronavirus) Measures. Australia, Tasmania, Coroner's Inquest Files - FamilySearch coronial, artery dissection, ischaemic heart disease, renal scarring, emphysema, the work of the courts being available to public scrutiny, possible harm from making an investigation publically available, 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. All contents copyright Government of Western Australia. Health and Community Services Complaints Commission, 2023 Northern Territory Government of Australia, URL: https://justice.nt.gov.au/attorney-general-and-justice/courts/inquests-findings They usually seek to find out the identity of the deceased, the cause of death and the circumstances in which it may have occurred. Search the Supreme Court of Tasmania database. Mixed Drug toxicity, Mental Health Plan, Schedule 8 substances, Drug Intoxication, Borderline Personality Disorder, Anxiety Disorder. Please be aware some collections consist only of partial information indexed from the records and do not contain any images. PDF In an emergency call triple zero (000) - Department of Health Drugs & alcohol, accidental overdose, prescription drugs, mixed drug toxicity, prescribing, Pharmaceutical Services Branch, Poisons Act 1971, Poisons Regulations 2018, schedule 8 substances, central nervous system depressants. In some inquests recommendations launch are made to Ministers and Government and non-government agencies. I Cant Find the Person Im Looking For, What Now? Inquest, acute subdural haematoma, drugs & alcohol, assault, Coroner's comments, Long term missing person, deckhand, work related, water related, weather related, boating, dinghy, intentional self harm, suicide, hanging, mental illness and health, prescribing, drug seeking, pain medication, transport and traffic related, alcohol and drugs, single motorcycle crash, unlicenced, learner rider, speeding, riding at excessive speed, methamphetamine, unregistered, riding over blood alcohol limit, loss of control, Transport & traffic related, motor vehicle crash, Lebrina, speeding, death by negligent driving, charged and convicted.
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