Keep track of your research in a research log. Our Safe Operating Procedure for this specific task along with our Risk Register and our weather related guidance were all updated some time ago. Inquest, person in care, older person, Bishop Davies Nursing Home, Roy Fagan Centre, aspiration pneumonia, advanced dementia. The PWS Arthur River Visitor Centre is trialling selling sand flags to the public. Coronial, House Fire, Smoke Alarm, Smoke inhalation, asphyxia, heating, flames, smoke, heating, electrical work. Transport & Traffic Related, Motor Vehicle Crash, Traumatic Injuries, Crash Investigation, East Tamar Highway, Inattention, Wire Rope Barrier. Apply Clear filters Showing 21-30 of 82 results Inquest into the death of Terence Gray launch Decision of Deputy State Coroner Truscott 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. This is also called a public court hearing. chronic alcoholism and emphysema, Mixed prescription drug toxicity, accidental overdose, drugs & alcohol, central nervous system depressants, lung disease, physical health, pharmaceutical services branch, Poisons Act 1971, schedule 8 narcotic substances, Drowning, rock fishing, not wearing a personal floatation device, PFD, Boltons Beach, Triabunna, Coroner's comment, Coroner's recommendation, Long term missing person, 1985, cause of death unknown, circumstances unknown, Tasmania Police Missing Persons Unit, Queensland, Inquest, falls, domestic incident, older persons, Ambulance Tasmania, paramedic, transport not required, transport refused, subdural heamatoma, Royal Hobart Hospital, recommendations, Inquest, drugs & alcohol, misadventure, water related, drowning and intoxication with methamphetamine and other substances, Little Howrah Beach, Launceston General Hospital, sepsis, Medical Certificate of Death, Office of the Health Complaints Commissioner, poor medical treatment, entirely avoidable death, Inquest, falls, older persons, elderly persons, Royal Hobart Hospital, application pursuant to section 58 of the Coroners Act 1995, investigation re-opened, Coroner's comment, high falls risk, aspiration pneumonia, National Disability Insurance Scheme, NDIS, palliative care, epilepsy, brain injury. This was attempted but unfortunately was not achievable due to presence of shallow rock. With this work the Network seeks to contribute to the formation of evidence-based policy and decision making in relation to domestic and family violence, enhancing opportunities for prevention and intervention and contributing to the enhanced safety of women and their children across Australia. 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. Tasmania Police has welcomed Coroner Robert Pearces findings into the death of Nicholas Whiteley at Westbury on 22 November 2010. Adverse medical effects, older person, permanent tracheostomy, aspiration, airway obstruction, Hobart District Nursing Service, Ambulance Tasmania, Refusal of Treatment and Transport Policy, Coroner's recommendation. All proposed sight benching, vegetation reduction and guard rail was successfully achieved as per application submission except for the length of guard rail marked in location below. Please be aware some collections consist only of partial information indexed from the records and do not contain any images. A Health Practitioner's guide for writing a statement for the Coroner. To access a finding not listed here, please makeapplication (DOC , 61.5 KB)to the 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). 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. The discharge summary or interim essential clinical details will be sent to the GP advising discharge date, appointment time with GP, discharge medications and legal status. Inquest Findings 2021 - Coroner's Court of Western Australia 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. Motorcycle Crash, Annual St Helens to Strahan Off Road Motorcycle ride, Alcohol, Intentional Self-Harm, Mental Illness, Transport and Traffic Related. Aboriginal and Torres Strait Islander peoples are warned, findings contain the names of deceased persons. Coronial findings To access a finding not listed here, please make application (DOC , 61.5 KB) to the Court. 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. Response from Tasmania Health Service Statewide and Mental Health Services received 8 March 2022. 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. Coroners Findings Archives - CAA Response from Tasmania Parks and Wildlife Service11 August 2022. All rights reserved. Inquest files are reports and associated files pertaining to investigations regarding the cause of certain deaths. To find out more about inquests, go to the Northern Territory Government website. We extend our sympathies to the family of Mr Whitely at this difficult time. HEARING DATE(s): 27, 28 September 2021 . The coroner can decide if the following lawyers can attend: a lawyer representing the coroner's . FILE NO(s): D34/2020 . O'Donnell, Margaret Joy.pdf (PDF File, 135.6 KB), Donohue, Tracey Lee.pdf (PDF File, 103.1 KB), Tilley, Jennifer May.pdf (PDF File, 117.4 KB), Wells, Peter Williams.pdf (PDF File, 100.9 KB), Lowe, Paul 2021 TASCD 684.pdf (PDF File, 1.1 MB), Bennett, Anthony George.pdf (PDF File, 114.0 KB), Roberts Henry Arthur.pdf (PDF File, 112.3 KB), Breward, Bradley Wade.pdf (PDF File, 78.7 KB), Nicholson, Dale Waverley.pdf (PDF File, 104.2 KB), Larkins, Pamela Judith.pdf (PDF File, 96.7 KB), Lindburg, Jason Richard.pdf (PDF File, 105.5 KB), Wheldon, Jamie Damien.pdf (PDF File, 106.0 KB), Chilvers, Peter Michael.pdf (PDF File, 98.6 KB), Pearce, Jayden John.pdf (PDF File, 103.1 KB), Rosendale, Dwayne Edward (PDF File, 376.1 KB), Bester, Valentine Eric Neal (PDF File, 130.9 KB), Lane, Christopher Mark.pdf (PDF File, 97.2 KB), Hume, Rosemary Josephine.pdf (PDF File, 112.6 KB), Parsons, Anna Maree.pdf (PDF File, 402.4 KB), Reaks, Karen Tracey.pdf (PDF File, 98.7 KB), Suter, Nigel Douglas.pdf (PDF File, 98.0 KB), King, Nicholas Brian.pdf (PDF File, 99.7 KB), Sterling, Barbara Lynette.pdf (PDF File, 103.5 KB), Quirk, Stewart James (PDF File, 99.0 KB), Lockley, Shane Reginald.pdf (PDF File, 113.1 KB), Groves, Justin Thomas (PDF File, 117.3 KB), Cooper, Melanie Sarah 2021 TASCD 475.pdf (PDF File, 121.9 KB), Midson, Gilbert Arthur.pdf (PDF File, 111.4 KB), Williamson, Shane Elliott; Rowe, Rodney Leo; and Robertson, Adam David (PDF File, 141.8 KB), Fitz-gerald, Peter John (PDF File, 106.1 KB), Selby, Robert Norman (PDF File, 731.0 KB), Hildyard, Nicholas William (PDF File, 112.0 KB), Menzies, Mervyn Roy (PDF File, 109.0 KB), Sowden, James Robert (PDF File, 597.0 KB), Woolley, Byron Balfour (PDF File, 77.1 KB), Gleeson, Craig; Lucas, Alistair & Welsh, Michael (PDF File, 892.1 KB), Bryers, Wallace Edgar (PDF File, 398.7 KB), Carnes, Wendy Maree.pdf (PDF File, 110.5 KB), Beames, Michael James (PDF File, 117.6 KB), Marshall, David Basil (PDF File, 94.9 KB), Wade, Neville Ernest (PDF File, 100.0 KB), Ghanbarzadeh, Masoud (PDF File, 120.1 KB), Porthouse, David John (PDF File, 294.6 KB), Bester, Alec Laurence (PDF File, 294.3 KB), Stocks, Michelle Jayne (PDF File, 121.3 KB), Steffen, William Francis (PDF File, 82.6 KB), Bowerman, Valerie Joy (PDF File, 399.8 KB), Davis, Graeme Charles (PDF File, 122.6 KB), Rubenach, Timothy Luke (PDF File, 141.1 KB), Daly, Raymond Albert.pdf (PDF File, 268.2 KB), Clark, Philip Patrick (PDF File, 252.7 KB), Fischer, Rodney James (PDF File, 101.4 KB), Lattimer, Joseph Aaron (PDF File, 455.5 KB), Greene, Yvonne Beverley (PDF File, 86.2 KB), Clark-Robertson, Tyson Timothy (PDF File, 117.7 KB), Townsend, David Lester.pdf (PDF File, 132.8 KB), Buhler, Finn Ruben Leo (PDF File, 106.6 KB), Oakley, Joseph Richard. Response fromDe Bruyn's Transport 23 July 2022, Recommendation 1: Rollover Awareness and Training. Coroner finds 'habitual' abuser and de facto partner caused Kirra-Lea Last updated: 16-Dec-2020 [ back to top ] 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. Coronial findings and recommendations - coroners.nsw.gov.au Magistrates Court : Coroners 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. Home
Check the List of Recent Decisions. Handbook for Medical Practioners and Students, Child C (Name Subject to Suppression Order), Child F (Name Subject to Suppression Order), Child B (Name Subject to Suppression Order), Baby E (Name Subject to Suppression Order), Child AM (Name Subject to Suppression Order), Child J (Name Subject to Suppression Order), Child JP (Name Subject to Suppression Order), Drage, Christopher Mervyn and Simpson, Trisjack Preston, Miss T (Name Subject to Suppression Order), Child JM (Name Subject to Suppression Order), Child RM (Name Subject to Suppression Order), Child SJC (Name Subject to Suppression Order), Headland, Zaraiyah-Lily and Andreas Hohaia, 5 Deaths in Casuarina Prison including Mervyn Kenneth Douglas BELL and Bevan Stanley CAMERON and Brian Robert HONEYWOOD and JS (Name Subject to Suppression Order) and Aubrey Anthony Shannon WALLAM, 13 Children and Young Persons in the Kimberley Region, Child KT (Name Subject to Suppression Order), Child L (Name Subject to Suppression Order), Pham, Uock and O'Neill, Justin and Pham, Jacob and Pham, Tuan, Carter, Mason Laurence and Turner, Murray Allan and Fairley, Chad Alan, Fairley, Chad Alan and Carter, Mason Laurence and Turner, Murray Allan, Felton,Gary, chantelle Jane McDougall, Leela McDougall and Antonio Konstantin Popic, McDougall, Chantell Jane and McDougall, Leela and Antonio Konstantin Popic and Gary Felton, Turner, Murray Allan and Carter, Mason Laurence and Fairley, Chad Alan, Beasley (also known as Graeme Leslie Syme), Miller, Keven Herbert Leban (aka Herb Miller), Cuzens, Jessica Rose & Cuzens, Jane Lesley Margaret & Glendinning, Heather, Glendinning, Heather & Cuzens, Jessica Rose & Cuzens, Jane Lesley Margaret, Hassan, Mohammad and Noor, Mohammad and Mr Sabibullah (Sabib Ullah), Noor, Mohammad and Hassan, Mohammad and Mr Sabibullah (Sabib Ullah), TP (a child) (Subject to a Suppression Order), TPL (a child Subject to a Suppression Order), McLean, Steven Walter & Wallam, Shane Henry, Till, Debra Alexandra and Raabe, Craig Allan, James, Robert (aka Philip Kevin Luckie and Robert John Coughlin), Vincent, Ian Bradley and Nelson, Kane Edwin. The original records are located in the Tasmanian Archives and Heritage Office in Hobart, Tasmania. (AMK) Web.pdf (PDF File, 307.3 KB), Kettle, Terrence Michael (AMK) Web.pdf (PDF File, 304.9 KB), Brewer, Ruby and Shanzel (PDF File, 164.5 KB), Golding, Laura Rebecca (PDF File, 127.5 KB), Woolley, Dale Robert (PDF File, 374.2 KB), Spencer, Melissa Mary - web.pdf (PDF File, 122.9 KB), Marshall, Eric Craig (PDF File, 843.8 KB), Besgrove, Trevor Scott (PDF File, 101.7 KB), Espie, James William (PDF File, 100.2 KB), Mansell, Robert Charles (PDF File, 488.0 KB), Nicolle, Paula Elizabeth (PDF File, 111.1 KB), Bond, Johnathon Lee.pdf (PDF File, 122.0 KB), Fish, Winston William - Web version.pdf (PDF File, 112.1 KB), Oliver, Colin Jamie.pdf (PDF File, 124.3 KB), Lockley, Rodney Dennis (PDF File, 107.8 KB), Pears, Phyllis (AMK) signed 11.09.20.pdf (PDF File, 437.3 KB), Murray, Geoffrey Raymond (PDF File, 107.1 KB), Harmon, Trinton John (PDF File, 586.4 KB), Wright, Maria Rebekah (PDF File, 148.8 KB), Wellington, Timothy John (PDF File, 298.7 KB), Maynard, Grant Godfrey (PDF File, 100.7 KB), Howe, Rowland Michael Chilton (PDF File, 118.7 KB), Howard, Noeline Dawn (PDF File, 124.1 KB), Williamson, Colin George (PDF File, 114.5 KB), Delios, Voula 2020 TASCD 458 (PDF File, 541.5 KB), Thompson, Michael Robert (PDF File, 134.3 KB), Lyons, Matthew Clayton - web.pdf (PDF File, 133.8 KB), Thompson, Paul Christopher (PDF File, 544.7 KB), Crowden, Jeffrey Donald (PDF File, 276.7 KB), Stone, Corrie Collean (PDF File, 85.4 KB), Shrimpton, Dallas Brooks (PDF File, 137.5 KB), Konstantinidis, Agis (PDF File, 124.6 KB), Crawford, Jacob Raymond (PDF File, 126.8 KB), Arnold, Derek William (PDF File, 116.8 KB), Dickinson, Mary Marguerite (PDF File, 485.6 KB), Tonner, Justin Michael (PDF File, 104.0 KB), McCarthy, Blake John (PDF File, 109.9 KB), Adams, Christopher Neil (PDF File, 98.7 KB), Griffin, James Geoffrey (PDF File, 101.4 KB), Hunter, Feryne Gaylene (PDF File, 137.7 KB), Dennis, Wayne Phillip (PDF File, 104.9 KB), Cashion, Brett Matthew (PDF File, 293.9 KB), Riley, Shane Patrick (PDF File, 375.3 KB), Tonks, Russell Rodney (PDF File, 100.7 KB), Ferguson, Roy Waldren Trevor (PDF File, 117.5 KB), Jones, Bradley James (PDF File, 124.8 KB), Hayward, Vanessa Claire (PDF File, 113.8 KB), Petterwood, Michael Lewis (PDF File, 115.5 KB), Pears, William Ernest (PDF File, 123.3 KB), Hargraves, Audrey Doreen (PDF File, 113.7 KB), Standaloft, Cora Gwendoline (PDF File, 100.4 KB), Button, Shirley Gwendoline (PDF File, 116.0 KB), Szemes, Kim Leonie Maree (PDF File, 104.5 KB), Shepperd, Stephen Charles (PDF File, 92.5 KB), Wilton, Melissa Joan (PDF File, 135.3 KB), Lawrence, Timothy Michael (PDF File, 137.5 KB), Kiley, Jordan Jackson (PDF File, 89.7 KB), Evans, Conor Maclaren (PDF File, 99.2 KB), Whitney, Margaret Ann (PDF File, 100.6 KB), Procter, Wilfred Pearson (PDF File, 118.3 KB), Combes, Margot Janeece (PDF File, 89.6 KB), Woodward, Ernest Henry (PDF File, 111.9 KB), Arundel-Clarke, Catherine Clara (PDF File, 99.6 KB), Woolley, Zedric Basil (PDF File, 118.2 KB), McInerney, Robert Edward (PDF File, 617.6 KB), Martin, Jack Hedley (PDF File, 374.5 KB), Mason, Alison Henderson (PDF File, 369.9 KB), Maxwell, Benjamin Murray (PDF File, 86.9 KB), Stewart, Keith Thomas (PDF File, 367.0 KB), McKenzie, Heather Patricia Dale (PDF File, 383.5 KB), Powell, Stephen Maxwell (PDF File, 309.1 KB), Roberts, Anna Jane and Stanley, Brett John (PDF File, 378.5 KB), Benneworth, Anthony John (PDF File, 414.5 KB), Long, Anthony Edward (PDF File, 412.9 KB), Frith, Aaron Douglas (PDF File, 363.8 KB), Sulman, Murray Matthew (PDF File, 373.0 KB), Peck, Edward Paisley (PDF File, 825.8 KB), O'Brien, Mark Andrew (PDF File, 369.6 KB), Clark, Darren Stuart (PDF File, 410.5 KB), Smith, Jordan Marcellus (PDF File, 380.9 KB), Bowerman, Graeme Anthony (PDF File, 415.1 KB), Picken, Jason Scott (PDF File, 362.0 KB), Jenkins, Mark Andrew (PDF File, 376.9 KB), Davies, Luke; Drobnjak, Aleksander; Ritter, Magnus; Roche, Anthony (PDF File, 839.6 KB), Stanley, Christopher Stephen (PDF File, 372.6 KB), McLean, Michael William (PDF File, 260.2 KB), Saltmarsh, Aidan Denis (PDF File, 384.2 KB), Jeffrey, Angela Joy (PDF File, 517.6 KB), Mead, Liam - Ruling on Evidence (PDF File, 147.9 KB), Horcicka, Josef Vratislav (PDF File, 488.4 KB), Eaton, Jodi Michelle (PDF File, 460.4 KB), Lukendlay, Charlotte (OM) Findings.pdf (PDF File, 751.2 KB), Nichols, James Raymond (PDF File, 397.8 KB), Russell, Allan Geoffrey (PDF File, 873.4 KB), Porteous, Shayne Edward (PDF File, 490.3 KB), Kranz, Lothar Wolfgang (PDF File, 501.6 KB), Davis, Catherine Joy (PDF File, 484.0 KB), Kenney, Margaret Patricia (PDF File, 510.8 KB), Ham, Roderick David Charles (PDF File, 487.1 KB), Best, Christopher Mark (PDF File, 497.5 KB), Close, Terrence Findings Web.pdf (PDF File, 943.2 KB), Finding Brendan Smith (Web) pdf.pdf (PDF File, 780.6 KB), Burns, Brendan Craig (PDF File, 324.4 KB), Glover, Gerald Samual (PDF File, 125.7 KB), Morris, Jason Simon (PDF File, 122.1 KB), Steshic, John Norman -web .pdf (PDF File, 495.7 KB), Paraskevas, Odissefs (PDF File, 396.0 KB), Nowitzki-Eisenburg, Heike (PDF File, 493.2 KB), Beltz, Sarah Rose -(Web).pdf (PDF File, 469.7 KB), Cowen, Craig -web.pdf (PDF File, 411.8 KB), Skrepetos, Stavroula (PDF File, 478.6 KB), Killer, Debbie Dubravka (PDF File, 411.5 KB), Brown, Tony David .pdf (PDF File, 595.0 KB), Stefaniw, Gerard Ernest (PDF File, 738.2 KB), Dunster, Kenneth Francis (PDF File, 743.5 KB), Roberts, Nigel Douglas (PDF File, 734.5 KB), Westbrook, Eden Jayde (PDF File, 314.2 KB), Richardson, Margaret Rita. The coroner's decision is also referred to as the coroner's findings or inquest findings. 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
A finding is the document handed down by a coroner . (PDF, 84.6 KB), Flow Chart of the Coronial Process (PDF, 316.1 KB), When to report a Death to the Coroner (PDF, 189.9 KB), Australian Domestic and Family Violence Death Review Network Data Report 2018 (pdf, 3 MB). Intentional self-harm, mental illness & health, youth, St Helens District High School, asphyxia, police investigation. The coroner decides whether to hold a public inquest into a death. Directions Hearing - Those seeking leave to appear. The Coroner has prepared comprehensive and considered findings and they will be given careful . 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. For additional information about image restrictions see Restrictions for Viewing Images in FamilySearch Historical Record Collections. Accidental drug overdose, palliative care, end stage mesothelioma, hydromorphone toxicity, North West Regional Hospital, Emergency Department, Burnie, medical negligence, medical certificate of death, Coroner's comments. Tasmania Police has welcomed Coroner Robert Pearce's findings into the death of Nicholas Whiteley at Westbury on 22 November 2010. A Health Practitioner's guide for writing a statement for the Coroner. (Web).pdf (PDF File, 406.9 KB), Death cannot be determined, Schedule 8 substances, Death is undetermined, Schedule 8 substances, Undetermined death, Mental Illness & Health, Health Treatment Order, GAB Order, Quad Bike, Sandy Cape Track, Coroner's Recommendation, Intentional self-harm, Statewide Mental Health Services, mental illness and health, Root Cause Analysis Report, Mental Health Act 2013, mental health facility rural or remote area, Coroner's recommendations, Drugs and alcohol, mental illness and health, physical health, epilepsy, Mental Health Act 2013, person held in care, methadone intoxication, Pharmaceutical Services Branch, methadone program, Alcohol and Drug Service, TOPP guidelines, Launceston General Hospital, Older Persons, Ischaemic heart disease, pulmonary disease, Royal Hobart Hospital, Drugs, Criminal Charges, Motor Vehicle Accident, Coroner's Comments, Seasonal Worker, Alcohol, Seat-Belt, Mental illness and health, physical health, person held in care, schizophrenia, morbid obesity, cardiac enlargement, Forensic Mental Health Service, Anglicare, Royal Hobart Hospital, coroner's recommendations, Coronial, findings, drowning, Frederick Henry Bay, Tasmania, Paddle, Kayak, Rochus Beach, Lime Bay, PFD, Wetsuit, Weather Forecast, Paddle Safe Guidelines, MAST Surf Life Saving Tasmania. Safety assessments of driver performance not only occur at the end of probation but are undertaken on an ongoing basis. JURISDICTION: Darwin . (ABC Northern Tasmania: Rick Eaves) Work related, Copper Mines of Tasmania, Mount Lyell Mine, Queenstown, chest injuries, fall from height, asphyxia, mud rush, temporary work platforms, fall arrest equipment, WorkSafe Tasmania, hazard management, Coroners comments & recommendations. All contents copyright Government of Western Australia. Aurora Australis shines over Perth. Older person, natural cause death, acute myocardial ischaemia, Launceston General Hospital, Emergency Department, triaged patients, assessment and treatment, monitoring of whereabouts, documentation of significant interactions, recommendations. Who attends an inquest Coroner and lawyers. Coronial, held in care, guardianship order, inquest, person in care, Roy Fagan Centre, atherosclerotic, hypertensive cardiovascular disease. Inquest, child & infant death, person held in care, Care and Protection Order, Children, Young Persons and their Families Act 1997, multi-systemic disabilities, hypoxic brain injury secondary to a cardiorespiratory arrest, Inquest, intentional self-harm, law enforcement, mental illness & health, person held in custody, Risdon Prison, HMP Risdon.