Coronial inquests and findings
The Northern Territory's coroner’s office investigates unexpected or suspected deaths on behalf of the community.
These types of deaths are called reportable deaths.
The coroner decides whether to hold a public inquest into a death. This is also called a public court hearing.
After an inquest, the coroner publishes their findings, which sets out their decisions and recommendations.
To find out more about inquests, go to the NT Government website.
Upcoming inquests
The following upcoming inquests have been scheduled by the NT Office of the Coroner.
| Death of | Inquest date | Issue date | Location | Category | Year of finding | Tags |
|---|---|---|---|---|---|---|
| Kumanjayi Dempsey - Directions Hearing | 19 March 2026 | Alice Springs Local Court | Pending findings | 1970 | ||
| Toko-Harieta Maki | 15 May 2026 | Darwin Local Court | Pending findings | 2026 | ||
| Kumanjayi Rubuntja | 18 May 2026 | Alice Springs Local Court | Pending findings | 2026 | ||
| J. Chong - Directions Hearings | 10 June 2026 | Directions Hearing | Darwin Local Court | Inquest findings | 1970 | |
| L. Johnson - Directions Hearings | 10 June 2026 | Directions Hearing | Darwin Local Court | Inquest findings | 1970 | |
| T. Mawson - Directions Hearings | 10 June 2026 | Directions Hearing | Darwin Local Court | Inquest findings | 1970 | |
| Kumanjayi White - Directions Hearing | 15 June 2026 | Alice Springs Local Court | Pending findings | 2026 | ||
| Beverley Rynski | 01 July 2026 | Darwin Local Court | Pending findings | 2026 | ||
| Beverley Rynski | 27 July 2026 | Darwin Local Court | Inquest findings | 2026 | ||
| Old Man TN | 10 August 2026 | Darwin Local Court | Pending findings | 2026 | ||
| Maryanne Mirniyowan | 16 November 2026 | Katherine Local Court | Pending findings | 2026 |
Inquest listings and findings
Search past inquest findings and current listings.
| Death of | Inquest date | Issue date | Location | Category | Year of finding | Tags | Sort date |
|---|---|---|---|---|---|---|---|
| Mitchell Thomas inquest findings PDF (664.1 KB) | 08 October 2025 | 05 June 2026 | Alice Springs Local Court | Inquest findings | 2026 | Electrical house fire; public housing; electrical arcing in the roof space; smoke alarms; an audit of public housing for electrical safety in Alice Springs and Tennant Creek; major electrical faults; AS/NZS 3019:2022; cyclical maintenance; periodic electrical inspections; investigation of electrical | 2026-06-05 |
| Sudden unexpected death of an infant (SUDI) chamber finding PDF (344.3 KB) | 13 May 2026 | 13 May 2026 | Chamber findings | 2026 | Sudden unexpected death of an infant (SUDI) from viral pneumonia in an unsafe sleeping environment | 2026-05-13 | |
| Baby S, Baby K, Baby B - (Co Sleeping) inquest findings PDF (4.0 MB) | 14 July 2025 | 30 April 2026 | Alice Springs Local Court | Inquest findings | 2026 | SUDI in an unsafe sleeping environment; co-sleeping/family sleeping/bed sharing; cultural considerations; ‘Triple Risk Model’; lack of culturally relevant education materials; no educational materials in Aboriginal languages; Pēpi‐Pod®; Coolamon; classification of COD; CDRPC; continuity of care | 2026-04-30 |
| Kumanjayi Johnson | 24 March 2026 | Adj. Sine die | Darwin Local Court | Pending findings | 2026 | ||
| Ralph Donald inquest findings PDF (831.2 KB) | 18 August 2025 | 20 March 2026 | Darwin Local Court | Inquest findings | 2026 | Coronial proceedings; inquests; death of man in context of intimate partner violence; domestic and family violence; coercive control; attempted killing / completed suicide; intervention / prevention; consideration of systemic failings and systemic reforms; need for further urgent reform. | 2026-03-20 |
| C Guyula ANZCA response report PDF (231.1 KB) | 21 August 2024 |
20 March 2026
ANZCA response report |
Agency responses to recommendations | 2026 | 2026-03-20 | ||
| Bradley Murdoch inquest findings PDF (987.8 KB) | 19 March 2026 | 19 March 2026 | Alice Springs Local Court | Inquest findings | 2026 | Death in custody; natural causes; palliation; metastatic adenocarcinoma; adequacy of care | 2026-03-19 |
| Roger Nowland helicopter crash CASA report PDF (1.3 MB) | 25 November 2025 |
10 March 2026
CASA report |
Agency responses to recommendations | 2026 | 2026-03-10 | ||
| Didbala Anzac agency response report PDF (1.0 MB) | 09 March 2026 | 09 March 2026 | Agency responses to recommendations | 2026 | 2026-03-09 | ||
| Kumanjayi Walker agency response report PDF (1.6 MB) | 05 September 2022 | 27 February 2026 | Agency responses to recommendations; Kumanjayi Walker | 2026 | 2026-02-27 | ||
| Michael Deutrom | 18 February 2026 | Directions Hearing - Adj. Sine Die | Darwin Local Court | Pending findings | 2026 | ||
| Martin Leach inquest findings PDF (12.4 MB) | 10 February 2026 | 10 February 2026 | Darwin Local Court | Inquest findings | 2026 | Death in custody; natural causes; Atrial Fi-brillation; Advance Personal Plan; Advance Consent Decision; who is bound by an Ad-vance Personal Plan; information sharing between NT Correctional Services and NT Health; ‘At Risk’ | 2026-02-10 |
| Kumanjayi Brogus Ungwanaka | 05 February 2026 | Submissions and Adj. Sine Die | Alice Springs Local Court | Pending findings | 2026 | ||
| Kumanjayi Johnson inquest findings PDF (2.7 MB) | 07 April 2025 |
23 January 2026
Findings |
Alice Springs Local Court | Inquest findings | 2026 | Supported Independent Living; Positive Behaviour Support Plan; Communication with family; Cultural Support; Return to Country; Office of the Public Guardian; NDIS; 000 calls; Missing Person; Search Urgency Assessment | 2026-01-23 |
| Road Death 42 of 2024 road fatality finding PDF (211.5 KB) | 15 January 2026 | 15 January 2026 | Road fatalities 2024 | 2026 | 2026-01-15 | ||
| Road Death 15 of 2024 road fatality finding PDF (190.9 KB) | 13 January 2026 | 13 January 2026 | Road fatalities 2024 | 2026 | 2026-01-13 | ||
| Road Death 43 of 2024 road fatality finding PDF (576.9 KB) | 13 January 2026 | 13 January 2026 | Road fatalities 2024 | 2026 | 2026-01-13 | ||
| Road Death 41 of 2024 agency response report PDF (4.9 MB) | 15 July 2025 | 12 January 2026 | Agency responses to recommendations | 2026 | 2026-01-12 | ||
| Grace Moulding agency response report PDF (583.7 KB) | 02 June 2025 | 12 January 2026 | Alice Springs Local Court | Agency responses to recommendations | 2026 | 2026-01-12 | |
| C Guyula inquest findings PDF (396.0 KB) | 21 August 2024 | 09 January 2026 | Darwin Local Court | Inquest findings | 2026 | Death of patient in Royal Darwin Hospital following complications of anaesthesia; train of four calibration and monitoring; likely inadequate reversal of anaesthetic; delayed detection of oesophageal intubation; insufficient capnographs in the PACU; misidentification of capnography; tra | 2026-01-09 |
| Road Death 25 of 2024 road fatality finding PDF (422.2 KB) | 29 December 2025 | 29 December 2025 | Road fatalities 2024 | 2025 | 2025-12-29 | ||
| Road Death 60 of 2024 road fatality finding PDF (541.6 KB) | 29 December 2025 | 29 December 2025 | Road fatalities 2024 | 2025 | 2025-12-29 | ||
| T. Ptjara and T. Ptjara inquest findings PDF (748.3 KB) | 03 March 2025 | 19 December 2025 | Alice Springs Local Court | Inquest findings | 2025 | Death in custody; spit hood; cognitive impairment; Wernicke-Korsakoff syndrome; alcoholism; role of Office of the Public Guardian; NDIS; Aged Care; homelessness; inadequate use of interpreters; gaps in service delivery; communication with families. | 2025-12-19 |
| Kumanjayi Fly inquest findings PDF (1.6 MB) | 03 December 2024 |
05 December 2025
Findings |
Alice Springs Local Court | Inquest findings | 2025 | Death of toddler following submersion in domestic septic tank; insecure and degraded access cover; public housing; repairs and maintenance; cyclical/planned maintenance; ‘habitability’; Wastewater Code; Wastewater Code compliance certificate; septic tank access point secondary safety shields; Housin | 2025-12-05 |
| Wayne Hunt | 01 December 2025 | Submissions and Adj. Sine Die | Darwin Local Court | Pending findings | 2025 | ||
| Road Death 12 of 2024 road fatality finding PDF (351.7 KB) | 25 November 2025 | 25 November 2025 | Road fatalities 2024 | 2025 | 2025-11-25 | ||
| Road Death 13 of 2024 road fatality finding PDF (204.1 KB) | 25 November 2025 | 25 November 2025 | Road fatalities 2024 | 2025 | 2025-11-25 | ||
| Road Death 27 of 2024 road fatality finding PDF (202.3 KB) | 25 November 2025 | 25 November 2025 | Road fatalities 2024 | 2025 | 2025-11-25 | ||
| Road Death 35 of 2024 road fatality finding PDF (220.7 KB) | 25 November 2025 | 25 November 2025 | Road fatalities 2024 | 2025 | 2025-11-25 | ||
| Road Death 58 of 2024 road fatality finding PDF (341.0 KB) | 25 November 2025 | 25 November 2025 | Road fatalities 2024 | 2025 | 2025-11-25 | ||
| Roger Nowland helicopter crash chamber finding PDF (309.8 KB) | 25 November 2025 | 25 November 2025 | Chamber findings | 2025 | 2025-11-25 | ||
| Road Death 52 of 2024 road fatality finding PDF (419.0 KB) | 20 November 2025 | 20 November 2025 | Road fatalities 2024 | 2025 | 2025-11-20 | ||
| Road Death 1 of 2024 road fatality finding PDF (197.9 KB) | 20 November 2025 | 20 November 2025 | Road fatalities 2024 | 2025 | 2025-11-20 | ||
| Road Death 26 of 2024 road fatality finding PDF (117.5 KB) | 19 November 2025 | 19 November 2025 | Road fatalities 2024 | 2025 | 2025-11-19 | ||
| Road Death 47 of 2024 road fatality finding PDF (194.6 KB) | 18 November 2025 | 18 November 2025 | Road fatalities 2024 | 2025 | 2025-11-18 | ||
| Child MS chamber finding PDF (279.9 KB) | 18 November 2025 | 18 November 2025 | Chamber findings | 2025 | 2025-11-18 | ||
| Ebony Thompson inquest findings PDF (5.2 MB) | 18 March 2025 | 24 October 2025 | Darwin Local Court | Inquest findings | 2025 | Australian Children’s Education and Care Quality Authority (ACEQA); Quality Education and Care Northern Territory (QECNT) Regulation of Child Care Centres; National Quality Framework (NQF); Fencing in child care centres; Supervision Plan and Policies; Adequacy of Supervision for blind spot; Failure | 2025-10-24 |
| Raylene Dick, David Hardy and Karen Bading inquest findings PDF (929.0 KB) | 08 April 2024 | 29 August 2025 | Darwin Local Court | Inquest findings | 2025 | Covid-19 pandemic; Territory Emergency Plan; Centre for National Resilience (CNR); Quarantine policies and procedures; ‘Contain and Test’ strategy;Robinson River outbreak; Melioidosis; Comorbidities; Health/Risk assessment for quarantine; Health Care in quarantine. | 2025-08-29 |
| Kumanjayi Walker (Ruling 11) inquest findings PDF (256.3 KB) | 29 August 2025 |
29 August 2025
Ruling No. 11 |
Kumanjayi Walker | 2025 | 2025-08-29 | ||
| Kumanjayi Emitja | 25 August 2025 | Adj. Sine Die | Alice Springs Local Court | Pending findings | 2025 | ||
| Didbala Anzac inquest findings PDF (4.2 MB) | 11 November 2024 | 12 August 2025 | Katherine Local Court | Inquest findings | 2025 | Child Death in Care, Intensive Therapeutic Residential Care, Complex Case Management, Protocol for Police Contact with Children Living in Out of Home Care, Mental Illness | 2025-08-12 |
| Grace Moulding inquest findings PDF (324.0 KB) | 02 June 2025 | 01 August 2025 | Alice Springs Local Court | Inquest findings | 2025 | Single vehicle rollover, unsealed road, driver training, default maximum speed limit | 2025-08-01 |
| Baby G agency response report PDF (2.9 MB) | 09 July 2024 | 30 July 2025 | Darwin Local Court | Agency responses to recommendations | 2025 | 2025-07-30 | |
| RL | 28 July 2025 | Adj. Sine Die | Alice Springs Local Court | Pending findings | 2025 | ||
| Mati Tamwoy agency response report PDF (3.5 MB) | 10 December 2024 | 28 July 2025 | Agency responses to recommendations | 2025 | 2025-07-28 | ||
| Road Death 22 of 2024 road fatality finding PDF (1.6 MB) | 24 July 2025 | 24 July 2025 | Road fatalities 2024 | 2025 | 2025-07-24 | ||
| Road Death 11 of 2024 road fatality finding PDF (210.1 KB) | 22 July 2025 | 22 July 2025 | Road fatalities 2024 | 2025 | 2025-07-22 | ||
| Road Death 4 of 2024 road fatality finding PDF (92.6 KB) | 15 July 2025 | 15 July 2025 | Road fatalities 2024 | 2025 | 2025-07-15 | ||
| Road Death 23 of 2024 road fatality finding PDF (37.6 KB) | 15 July 2025 | 15 July 2025 | Road fatalities 2024 | 2025 | 2025-07-15 | ||
| Road Deaths 37, 38 and 39 of 2024 road fatality finding PDF (32.4 KB) | 15 July 2025 | 15 July 2025 | Road fatalities 2024 | 2025 | 2025-07-15 | ||
| Road Death 41 of 2024 road fatality finding PDF (1.6 MB) | 15 July 2025 | 15 July 2025 | Road fatalities 2024 | 2025 | 2025-07-15 | ||
| Road Death 44 of 2024 road fatality finding PDF (332.6 KB) | 15 July 2025 | 15 July 2025 | Road fatalities 2024 | 2025 | 2025-07-15 | ||
| Road Death 45 of 2024 road fatality finding PDF (28.3 KB) | 15 July 2025 | 15 July 2025 | Road fatalities 2024 | 2025 | 2025-07-15 | ||
| Road Death 51 of 2024 road fatality finding PDF (30.2 KB) | 15 July 2025 | 15 July 2025 | Road fatalities 2024 | 2025 | 2025-07-15 | ||
| Kumanjayi Walker inquest findings PDF (4.3 MB) | 05 September 2022 | 07 July 2025 | Yuendumu | Inquest findings; Kumanjayi Walker | 2025 | Coronial proceedings; inquest after criminal trial; mandatory inquest into death in police custody; failure to do adequate risk assessment; failure to follow arrest plan; police officer’s tendency to “rush in”; officer induced jeopardy; NT Police failure to properly investigate complaints; racism in | 2025-07-07 |
| Pukumani agency response report PDF (1.9 MB) | 19 March 2024 | 03 July 2025 | Agency responses to recommendations | 2025 | 2025-07-03 | ||
| Road Death 53 of 2024 road fatality finding PDF (1.2 MB) | 10 June 2025 | 10 June 2025 | Road fatalities 2024 | 2025 | 2025-06-10 | ||
| Richard Roe agency response report PDF (1.2 MB) | 21 May 2024 | 13 May 2025 | Darwin Local Court | Agency responses to recommendations | 2025 | 2025-05-13 | |
| Road Death 48 of 2024 road fatality finding PDF (379.5 KB) | 06 May 2025 | 06 May 2025 | Road fatalities 2024 | 2025 | 2025-05-06 | ||
| Road Death 40 of 2024 road fatality finding PDF (560.3 KB) | 29 April 2025 | 29 April 2025 | Road fatalities 2024 | 2025 | 2025-04-29 | ||
| Mr Dooley agency response report PDF (1.2 MB) | 16 January 2024 | 11 April 2025 | Darwin Local Court | Agency responses to recommendations | 2025 | 2025-04-11 | |
| Kailab inquest findings PDF (696.4 KB) | 11 March 2024 | 04 April 2025 | Darwin Local Court | Inquest findings | 2025 | Fatal crash, Child in Care, Out of Home Residential Care, Intensive Therapeutic Residential Care, Adequacy of Care, Foetal Alcohol Syndrome Disorder (FASD), Information Management and Sharing | 2025-04-04 |
| Road Death 32 of 2024 road fatality finding PDF (194.7 KB) | 01 April 2025 | 01 April 2025 | Road fatalities 2024 | 2025 | 2025-04-01 | ||
| Road Death 30 of 2024 road fatality finding PDF (927.0 KB) | 01 April 2025 | 01 April 2025 | Road fatalities 2024 | 2025 | 2025-04-01 | ||
| Road Death 29 of 2024 road fatality finding PDF (814.7 KB) | 01 April 2025 | 01 April 2025 | Road fatalities 2024 | 2025 | 2025-04-01 | ||
| Road Death 28 of 2024 road fatality finding PDF (2.0 MB) | 01 April 2025 | 01 April 2025 | Road fatalities 2024 | 2025 | 2025-04-01 | ||
| Road Death 18 of 2024 road fatality finding PDF (1.3 MB) | 01 April 2025 | 01 April 2025 | Road fatalities 2024 | 2025 | 2025-04-01 | ||
| Judith Smart inquest findings PDF (1017.8 KB) | 19 August 2024 | 26 March 2025 | Darwin Local Court | Inquest findings | 2025 | Adequacy of post operative nursing care at Royal Darwin Hospital for patient with COPD and OSA; Post Anaesthetic Care Unit (PACU); CPAP machine; Staffing; Close Observation Unit; Adequacy of palliative care; ICU End-of-Life Care Guideline | 2025-03-26 |
| Road Death 43 of 2024 road fatality finding PDF (2.5 MB) | 14 March 2025 | 14 March 2025 | Road fatalities 2024 | 2025 | 2025-03-14 | ||
| Dhakiyarr Wirrapanda chamber finding PDF (1.6 MB) | 06 March 2025 | 06 March 2025 | Chamber findings | 2025 | 2025-03-06 | ||
| Road Death 19 of 2024 road fatality finding PDF (699.7 KB) | 03 March 2025 | 03 March 2025 | Road fatalities 2024 | 2025 | 2025-03-03 | ||
| Road Deaths 33 and 34 of 2024 road fatality finding PDF (1.3 MB) | 03 March 2025 | 03 March 2025 | Road fatalities 2024 | 2025 | 2025-03-03 | ||
| Pukumani inquest findings PDF (758.3 KB) | 19 March 2024 | 14 February 2025 | Darwin Local Court | Inquest findings | 2025 | Bed Block in Joan Ridley Unit RDH; prolonged stay in Emergency Department RDH; Failure to monitor respiratory in Joan Ridley Unit; Failure to conduct CPR for 7 minutes; seclusion; managing medication change; CareFlight | 2025-02-14 |
| Road Death 9 of 2024 road fatality finding PDF (477.1 KB) | 05 February 2025 | 05 February 2025 | Road fatalities 2024 | 2025 | 2025-02-05 | ||
| Road Death 14 of 2024 road fatality finding PDF (398.0 KB) | 05 February 2025 | 05 February 2025 | Road fatalities 2024 | 2025 | 2025-02-05 | ||
| Domestic violence victim (Jingili Water Gardens) chamber finding PDF (281.2 KB) | 17 January 2025 | 17 January 2025 | Chamber findings | 2025 | 2025-01-17 | ||
| Domestic violence victim (Bush Camp, Karama) chamber finding PDF (269.3 KB) | 17 January 2025 | 17 January 2025 | Chamber findings | 2025 | 2025-01-17 | ||
| Mati Tamwoy inquest findings PDF (959.6 KB) | 10 December 2024 | 10 January 2025 | Darwin Local Court | Inquest findings | 2025 | Death in custody, terminal illness, use of restraints, next of kin | 2025-01-10 |
| Baby G inquest findings PDF (1.5 MB) | 09 July 2024 | 06 December 2024 | Darwin Local Court | Inquest findings | 2024 | Child death in care; Trisomy 21 (Down Syndrome); NIPT testing; Down Syndrome Association NT; Territory Families Investigation and Safety Assessment policy and procedures; least intrusive intervention; Territory Families’ Family and Parent Support and Strengthening Families policies and procedures; “ | 2024-12-06 |
| Richard Roe inquest findings PDF (288.2 KB) | 21 May 2024 | 26 November 2024 | Darwin Local Court | Inquest findings | 2024 | Suspected death; missing person; | 2024-11-26 |
| Grace agency response report PDF (3.9 MB) | 13 February 2024 | 26 November 2024 | Darwin Local Court | Agency responses to recommendations | 2024 | 2024-11-26 | |
| Kumarn Rabuntja, Kumanjayi Haywood, Miss Yunupingu and Ngeygo Ragurrk inquest findings PDF (2.3 MB) | 13 June 2023 |
25 November 2024
Annexures to follow |
Darwin and Alice Springs Local Court | Inquest findings | 2024 | Coronial proceedings; inquests; deaths of Aboriginal women killed by their domestic partners; domestic and family violence; consideration of systemic failings; NT has highest rate of DFSV in Australia; NT has highest imprisonment rate in Australia; need for urgent widespread reform | 2024-11-25 |
| Kumarn Rabuntja, Kumanjayi Haywood, Miss Yunupingu and Ngeygo Ragurrk agency response report PDF (4.8 MB) | 13 June 2023 | 25 November 2024 | Agency responses to recommendations | 2024 | Coronial proceedings; inquests; deaths of Aboriginal women killed by their domestic partners; domestic and family violence; consideration of systemic failings; NT has highest rate of DFSV in Australia; NT has highest imprisonment rate in Australia; need for urgent widespread reform | 2024-11-25 | |
| Kumanjayi Jurrah inquest findings PDF (3.5 MB) | 29 July 2024 | 15 November 2024 | Alice Springs Local Court | Inquest findings | 2024 | Child drowning in public pool; failings in policy, procedures and practice concerning supervision of children by Kintore Early Learning Centre and MacDonnell Regional Council; failings in policy, procedures and practice by Kintore Pool and MacDonnell Regional Council; failure by MacDonnell Regional | 2024-11-15 |
| Toddler R chamber finding PDF (222.2 KB) | 31 October 2024 | 31 October 2024 | Chamber findings | 2024 | 2024-10-31 | ||
| Road Deaths 16 and 17 of 2024 road fatality finding PDF (1.8 MB) | 10 October 2024 | 10 October 2024 | Road fatalities 2024 | 2024 | 2024-10-10 | ||
| Road Deaths 5,6,7 and 8 of 2024 road fatality finding PDF (1.7 MB) | 10 October 2024 | 10 October 2024 | Road fatalities 2024 | 2024 | 2024-10-10 | ||
| Xysz Tacdliwaazy @Josh Ngalarina agency response report PDF (2.2 MB) | 19 September 2023 | 08 October 2024 | Darwin Local Court | Agency responses to recommendations | 2024 | 2024-10-08 | |
| Toddler K PDF (430.8 KB) | 30 August 2024 | 30 August 2024 | Inquest findings | 2024 | 2024-08-30 | ||
| Pine Creek Fatalities road fatality finding PDF (235.6 KB) | 02 July 2024 | 02 July 2024 | Road fatalities 2024 | 2024 | 2024-07-02 | ||
| Grace inquest findings PDF (1.7 MB) | 13 February 2024 | 27 June 2024 | Darwin Local Court | Inquest findings | 2024 | Self-inflicted gunshot; child suicide; crime scene investigation; gunshot residue, fingerprinting; forensic pathologist; unsecured firearms; suicidal ideation; school counselling; adequacy of school response to disclosure. | 2024-06-27 |
| Katrina Hawker | 17 June 2024 | The findings are temporarily removed and will be restored at a later date | Darwin Local Court | Pending findings | 2024 | ||
| Mr Dooley inquest findings PDF (508.7 KB) | 16 January 2024 | 12 June 2024 | Darwin Local Court | Inquest findings | 2024 | Death in custody – adequacy of medical care – adequacy of NT Health and NT Corrections policy and procedures – ECG management – PCIS recall management – Medical Housing Unit – prisoner health communications – Aboriginal employees – health information in IRNA and SCATE records – completeness | 2024-06-12 |
| Douglass Maggie chamber finding PDF (234.4 KB) | 30 May 2024 | 30 May 2024 | Darwin Local Court | Chamber findings | 2024 | 2024-05-30 | |
| Baby Croker agency response report PDF (2.4 MB) | 16 May 2023 | 02 May 2024 | Darwin Local Court | Agency responses to recommendations | 2024 | 2024-05-02 | |
| Kumanjayi Walker ruling no 10 PDF (237.3 KB) | 30 April 2024 | 30 April 2024 | Kumanjayi Walker | 2024 | Coronial proceedings; inquests; death in custody; call for production; witness reading from document during evidence; legal professional privilege; waiver. | 2024-04-30 | |
| Delvene Thompson agency response report PDF (21.1 MB) | 31 May 2023 | 17 April 2024 | Darwin Local Court | Agency responses to recommendations | 2024 | 2024-04-17 | |
| Xysz Tacdliwaazy @Josh Ngalarina inquest findings PDF (868.1 KB) | 19 September 2023 | 05 April 2024 | Darwin Local Court | Inquest findings | 2024 | Death in care, sudden death volatile substance inhalation (butane and propane) Volatile Substance Abuse (VSA), deodorant, mental health outliers, inadequate training of non mental health staff | 2024-04-05 |
| Shane Tapp inquest findings PDF (3.0 MB) | 17 October 2023 | 02 February 2024 | Katherine Local Court | Inquest findings | 2024 | Unknown cause of death; open finding; deceased involved in illegal drug trade; decomposing body found on island in Katherine River. | 2024-02-02 |
| Delvene Thompson inquest findings PDF (695.8 KB) | 31 May 2023 | 06 December 2023 | Darwin Local Court | Inquest findings | 2023 | Fatal crash, police pursuit, pursuit resolution, incident controller, traffic apprehension, emergency vehicle driving, search phase, covert monitoring, boxing, death in custody, body worn video | 2023-12-06 |
| Kumanjayi Walker ruling no 8 PDF (4.0 MB) | 22 November 2023 | 22 November 2023 | Kumanjayi Walker | 2023 | Coronial proceedings; inquests; death in custody; application for recusal | 2023-11-22 | |
| Nigel Harris agency response report PDF (1.2 MB) | 23 August 2022 | 18 October 2023 | Alice Springs Local Court | Agency responses to recommendations | 2023 | 2023-10-18 | |
| Baby Croker inquest findings PDF (532.6 KB) | 16 May 2023 | 22 September 2023 | Darwin Local Court | Inquest findings | 2023 | Fatal child drowning – two year old - private backyard swimming pool – gate propped open – unsupervised - Swimming Pool Safety Authority – pool fence compliance, maintenance and inspection – Northern Territory Water Safety Strategy 2017-21 – Australian Water Safety Strategy 2030 | 2023-09-22 |
| Bernard Hector agency response report PDF (695.8 KB) | 17 January 2023 | 17 July 2023 | Agency responses to recommendations | 2023 | 2023-07-17 | ||
| Nigel Harris inquest findings PDF (1.9 MB) | 23 August 2022 | 05 June 2023 | Alice Springs Local Court | Inquest findings | 2023 | Recognised high risk to spectators in Finke Desert Race by Motorsport Australia and those running the race, failure to mitigate the risk | 2023-06-05 |
| Kumanjayi Walker ruling no 7 PDF (206.0 KB) | 27 April 2023 | 27 April 2023 | Alice Springs Local Court | Kumanjayi Walker | 2023 | Coronial proceedings; inquests; death in custody; receipt of evidence under s 39 of the Coroners Act 1993 (NT) | 2023-04-27 |
| Kumanjayi Holmes inquest findings PDF (1.5 MB) | 30 March 2023 | 31 March 2023 | Alice Springs Local Court | Inquest findings | 2023 | Child death in care, inherited genetic disorder Batten disease, removed from family due to disability. | 2023-03-31 |
| Janelle Pamkal inquest findings PDF (208.3 KB) | 14 February 2023 | 15 March 2023 | Darwin Local Court | Inquest findings | 2023 | Person held in care, CareFlight retrieval, aortic dissection, Chest Pain Pathway | 2023-03-15 |
| Bernard Hector inquest findings PDF (323.3 KB) | 17 January 2023 | 24 February 2023 | Darwin Local Court | Inquest findings | 2023 | Death in custody, self-inflicted hanging, Local Court ‘At Risk’ Practice Direction, adequacy of care and assessments, access to health services and missed appointments, Aboriginal Mental Health First Aid, prison staffing | 2023-02-24 |
| Kumanjayi Walker ruling no 6 PDF (256.9 KB) | 01 December 2022 | 01 December 2022 | Kumanjayi Walker | 2022 | Coronial proceedings; inquests; death in custody; application for non-publication order under s43 of the Coroner’s Act 1993 (NT) | 2022-12-01 | |
| Roberta Curry agency response report PDF (1.4 MB) | 17 May 2022 | 15 November 2022 | Agency responses to recommendations | 2022 | 2022-11-15 | ||
| Kumanjayi Walker ruling no 5 PDF (347.5 KB) | 25 October 2022 | 25 October 2022 | Alice Springs Local Court | Kumanjayi Walker | 2022 | Coronial proceedings; inquests; death in custody; penalty privilege; objections under s 38 of the Coroners Act 1993 (NT) | 2022-10-25 |
| Kumanjayi Walker ruling no 4 PDF (216.2 KB) | 18 October 2022 | 18 October 2022 | Alice Springs Local Court | Kumanjayi Walker | 2022 | Coronial proceedings; inquests; death in custody; application for non-publication order under s 43 of the Coroner’s Act 1993 (NT) | 2022-10-18 |
| Kumanjayi Walker ruling no 3 PDF (450.4 KB) | 29 September 2022 | 14 October 2022 | Darwin Local Court | Kumanjayi Walker | 2022 | Coronial proceedings; inquests; death in custody; inquest following acquittal; objections to evidence; authority to receive evidence under the Coroner’s Act 1993 (NT) | 2022-10-14 |
| Reginald Roy agency response report PDF (2.5 MB) | 15 March 2022 | 10 October 2022 | Agency responses to recommendations | 2022 | 2022-10-10 | ||
| Kumanjayi Walker ruling no 2 PDF (286.6 KB) | 09 September 2022 | 13 September 2022 | Alice Springs | Kumanjayi Walker | 2022 | Coronial proceedings; inquests; deaths in custody; inquest following acquittal; objections to evidence; unlawfully obtained evidence; authority to receive evidence under the Coroner’s Act 1993 (NT) | 2022-09-13 |
| Kumanjayi Walker | 05 September 2022 | Read about the Kumanjayi Walker inquest. | Alice Springs Local Court | Kumanjayi Walker | 2022 | ||
| Kumanjayi Walker ruling no 1 PDF (199.2 KB) | 26 May 2022 | 19 July 2022 | Darwin Local Court | Kumanjayi Walker | 2022 | Application for leave to appear; sufficient interest; police association | 2022-07-19 |
| Roberta Curry inquest findings PDF (228.3 KB) | 17 May 2022 | 10 June 2022 | Darwin Local Court | Inquest findings | 2022 | Intimate partner homicide, domestic violence, response by police, supervision by Community Corrections, 000 calls | 2022-06-10 |
| Reginald Roy inquest findings PDF (216.6 KB) | 15 March 2022 | 20 May 2022 | Darwin Local Court | Inquest findings | 2022 | Sixteen year old lost to mental health follow up shortly after being discharged from inpatient unit, died due to high voltage electrocution | 2022-05-20 |
| Patrick Moriarty inquest findings PDF (1.1 MB) | 07 June 2018 | 07 April 2022 | Katherine Local Court | Inquest findings | 2022 | Person missing with a dog on a background of small town feud, suspicious circumstances, extensive searches | 2022-04-07 |
| S. Wongaway, D. Wongaway and M.Dixon inquest findings PDF (1.1 MB) | 07 December 2021 | 07 March 2022 | Alice Springs Local Court | Inquest findings | 2022 | Three deaths, vehicle crash on Christmas day, unregistered vehicle detected by police and followed, whether deaths in custody | 2022-03-07 |
| Josef Lear inquest findings PDF (187.4 KB) | 02 November 2021 | 25 January 2022 | Darwin Local Court | Inquest findings | 2022 | Death in custody, natural causes | 2022-01-25 |
| Sammy inquest findings PDF (274.5 KB) | 22 June 2021 | 25 November 2021 | Darwin Local Court | Inquest findings | 2021 | Suicide, death in care, 9 years of age, Aboriginal Placement Principle not adhered to, trauma not assessed and treated | 2021-11-25 |
| Brody Wauchope-Dirdi inquest findings PDF (503.9 KB) | 12 October 2021 | 24 November 2021 | Darwin Local Court | Inquest findings | 2021 | Electrocution of 11 year old boy at a home in a remote Aboriginal community, roof live with 240 volts, caused by faulty Power and Water Corporation connection to residence, no earthing of electrical connection and metal roof, no maintenance or inspection over 25 years | 2021-11-24 |
| Holly Davidson inquest findings PDF (493.9 KB) | 27 September 2021 | 09 November 2021 | Darwin Local Court | Inquest findings | 2021 | Domestic violence allegations made against serving police officer, inadequate investigations, coercive control ‘red flags’ not recognised | 2021-11-09 |
| Benjamin Watts agency response report PDF (644.4 KB) | 13 April 2021 | 10 September 2021 | Agency responses to recommendations | 2021 | 2021-09-10 | ||
| Patrick Bloomfield agency response report PDF (956.3 KB) | 09 March 2021 | 02 September 2021 | Agency responses to recommendations | 2021 | 2021-09-02 | ||
| Master W, Miss B and Master JK agency response report PDF (1.3 MB) | 13 October 2020 | 10 May 2021 | Agency responses to recommendations | 2021 | 2021-05-10 | ||
| Benjamin Watts inquest findings PDF (1.0 MB) | 13 April 2021 | 29 April 2021 | Darwin Local Court | Inquest findings | 2021 | Death in custody, ATV rollover, workplace safety at prison | 2021-04-29 |
| Patrick Bloomfield inquest findings PDF (1.8 MB) | 09 March 2021 | 01 April 2021 | Alice Springs Local Court | Inquest findings | 2021 | Remote Aboriginal Community, RBT avoidance, police pursuit, terminated, rolled 5 kilometres later, death in custody, family access to body and scene not facilitated, suspicions of family not allayed | 2021-04-01 |
| Christopher Malyschko inquest findings PDF (804.7 KB) | 09 November 2020 | 15 January 2021 | Darwin Local Court | Inquest findings | 2021 | Death in custody while under influence of synthetic cannabis ‘Kronic’, failure to adequately respond to ‘Kronic’ by prison management, death contributed to by boredom, failure of educational and entertainment system in new prison, not remedied after 6 years | 2021-01-15 |
| Robert Curtis inquest findings PDF (45.9 KB) | 08 December 2020 | 07 January 2021 | Alice Springs Local Court | Inquest findings | 2021 | Death in custody, natural cause death, prisoner given leave to die in his community | 2021-01-07 |
| Edgar Forrester inquest findings PDF (142.8 KB) | 09 December 2020 | 07 January 2021 | Alice Springs Local Court | Inquest findings | 2021 | Death in custody, natural causes | 2021-01-07 |
| Barbara Francis inquest findings PDF (397.2 KB) | 03 November 2020 | 18 December 2020 | Darwin Local Court | Inquest findings | 2020 | Death of resident in aged care, dementia unit, understaffing, hip protectors, external/agency staff, Delay in ambulance attendance | 2020-12-18 |
| Master W, Miss B and Master JK inquest findings PDF (462.5 KB) | 13 October 2020 | 15 December 2020 | Darwin Local Court | Inquest findings | 2020 | Volatile substance abuse by children in remote Aboriginal communities, failure of government agencies to assist, unlawful practices by Top End Health Service, previous assurance of compliance not observed | 2020-12-15 |
| Fionica James, Katurah Mamarika, Layla Leering inquest findings PDF (906.5 KB) | 16 September 2020 | 15 December 2020 | Darwin Local Court | Inquest findings | 2020 | Deaths of teenage girls in remote Aboriginal communities, high levels of trauma and stress, perfunctory police investigations, little to no assistance from government agencies | 2020-12-15 |
| Ishamel Nawirridj agency response report PDF (666.9 KB) | 30 June 2020 | 26 November 2020 | Agency responses to recommendations | 2020 | 2020-11-26 | ||
| Lily Elizabeth Aldridge chamber finding PDF (69.0 KB) | 26 October 2020 | 26 October 2020 | Darwin Local Court | Chamber findings | 2020 | 2020-10-26 | |
| David Loader inquest findings PDF (257.6 KB) | 18 August 2020 | 18 August 2020 | Darwin Local Court | Inquest findings | 2020 | Death in custody, prisoner in correctional facility, natural cause death, adequacy of care, treatment and supervision | 2020-08-18 |
| Ishmael Nawirridj inquest findings PDF (300.5 KB) | 30 June 2020 | 17 July 2020 | Darwin Local Court | Inquest findings | 2020 | Death in custody of Correctional Services, natural causes | 2020-07-17 |
| Joanne Craig agency response report PDF (973.0 KB) | 27 August 2019 | 24 January 2020 | Agency responses to recommendations | 2020 | 2020-01-24 | ||
| Linden Kunoth agency response report PDF (1.1 MB) | 10 September 2019 | 21 January 2020 | Agency responses to recommendations | 2020 | 2020-01-21 | ||
| Daniel Alexander Bleaney agency response report PDF (1.1 MB) | 30 July 2019 | 21 January 2020 | Agency responses to recommendations | 2020 | 2020-01-21 | ||
| Harry Evans inquest findings PDF (99.6 KB) | 26 November 2019 | 03 January 2020 | Darwin Local Court | Inquest findings | 2020 | Sea snake bite, neurotoxic venom, prawn trawler, remote location | 2020-01-03 |
| Jonathan Hempel inquest findings PDF (1.1 MB) | 09 November 2018 | 03 January 2020 | Darwin Local Court | Inquest findings | 2020 | Pedestrian run over by vehicle, driver did not provide adequate account, belief that offences have been committed, referral back to Police and DPP | 2020-01-03 |
| Lebron Douglas Martin inquest findings PDF (298.7 KB) | 08 October 2019 | 22 November 2019 | Darwin Local Court | Inquest findings | 2019 | Child death in care, genetic degenerative disorder, removed from family due to disabilities | 2019-11-22 |
| Linden Kunoth inquest findings PDF (824.9 KB) | 10 September 2019 | 27 September 2019 | Alice Springs Local Court | Inquest findings | 2019 | Mental Health, involuntary admission, remained psychotic, non-compliance with Mental Health and Related Services Act in provision of leave, took his own life | 2019-09-27 |
| Jordan Allen inquest findings PDF (969.4 KB) | 11 September 2019 | 27 September 2019 | Alice Springs Local Court | Inquest findings | 2019 | Mental Health Facility, involuntary patient, “cigarette leave” while still psychotic, took his own life | 2019-09-27 |
| Daryl Riley inquest findings PDF (43.1 KB) | 12 September 2019 | 27 September 2019 | Alice Springs Local Court | Inquest findings | 2019 | Death in custody, prisoner in correctional facility, natural causes | 2019-09-27 |
| Joanne Craig inquest findings PDF (2.0 MB) | 28 August 2019 | 20 September 2019 | Darwin Local Court | Inquest findings | 2019 | Failure of primary care providers to offer vaccination (Pnemovax23), Failure by hospital to identify sepsis, Failure to identify septic shock, antibiotics commenced too late | 2019-09-20 |
| Daniel Alexander Bleaney inquest findings PDF (131.7 KB) | 30 July 2019 | 13 September 2019 | Darwin Local Court | Inquest findings | 2019 | Death in care, high risk suicidal patient, involuntary admission to ward (not secure), failure to improve security after previous death, poor communication with family | 2019-09-13 |
| Robin Riley, Thomas Turpin, Fabian Andrews, Cassandra Martin inquest findings PDF (4.8 MB) | 09 July 2019 | 09 August 2019 | Darwin Local Court | Inquest findings | 2019 | Single vehicle rollover, Kakadu Highway, gravel on bitumen at intersection with unsealed road | 2019-08-09 |
| Fazan Khan inquest findings PDF (73.0 KB) | 11 April 2019 | 20 June 2019 | Darwin Local Court | Inquest findings | 2019 | Drug overdose; MDMA; multi-drug toxicity; self administered; dangers of ‘lean’- soft drink mixed with pharmaceuticals. | 2019-06-20 |
| Sean Daniel Collins inquest findings PDF (1.6 MB) | 09 April 2019 | 07 May 2019 | Darwin Local Court | Inquest findings | 2019 | Death in custody, foreign national, inadequate health care | 2019-05-07 |
| Ali Achmadun Djawas inquest findings PDF (1.9 MB) | 12 March 2019 | 16 April 2019 | Darwin Local Court | Inquest findings | 2019 | Elective surgery, lack of information as to risks of surgery, unnecessary surgery, poor communication by Hospital, lack of appropriate discharge procedure and information, anastomotic leak leading to death | 2019-04-16 |
| Xavier Lengyel inquest findings PDF (2.8 MB) | 19 March 2019 | 12 April 2019 | Darwin Local Court | Inquest findings | 2019 | Traffic collision between unregistered motorcycle and vehicle, substandard police investigation, referral back to Police and DPP | 2019-04-12 |
| Jason Challis inquest findings PDF (154.1 KB) | 20 November 2018 | 16 January 2019 | Darwin Local Court | Inquest findings | 2019 | Defence Force urban operations live fire training exercise, safety mitigation procedures not followed, systemic failure, soldier shot in head | 2019-01-16 |
| Julie Frances Morrell chamber finding PDF (44.9 KB) | 13 December 2018 | 13 December 2018 | Darwin Local Court | Chamber findings | 2018 | mechanical (traumatic) asphyxia as result of motor vehicle accident, Humpty Doo Hotel carpark, Arnhem Highway | 2018-12-13 |
| Sabrina Di Lembo inquest findings PDF (147.7 KB) | 23 October 2018 | 03 December 2018 | Darwin Local Court | Inquest findings | 2018 | Anxiety, young woman, suicide, NT Mental Health Service, General Practitioners, no adequate history or assessment, no coordinated care, no referral by GP to psychiatrist | 2018-12-03 |
| Jeremy aka Lawrence Tunkin inquest findings PDF (117.5 KB) | 16 October 2018 | 26 November 2018 | Alice Springs Local Court | Inquest findings | 2018 | Death in Custody, Natural Causes, Communication problems with hearing impaired prisoners, AutoPulse resuscitation devices | 2018-11-26 |
| Wilfried and Gisela Thor inquest findings PDF (2.5 MB) | 06 November 2018 | 26 November 2018 | Alice Springs Local Court | Inquest findings | 2018 | Nature Park, hot day, short walk, signage obscured by vegetation, boundary fence down, tourists became lost, environmental heat injury | 2018-11-26 |
| Jessica Poulson inquest findings PDF (40.2 KB) | 08 November 2018 | 26 November 2018 | Alice Springs Local Court | Inquest findings | 2018 | Death in care, 17 days old baby, congenital heart defect, expected death, appropriate care and treatment | 2018-11-26 |
| Matthew Rosewarne inquest findings PDF (128.3 KB) | 18 September 2018 | 10 October 2018 | Darwin Local Court | Inquest findings | 2018 | Police investigation, gunshot death, shot in back of neck, safety catch on, investigated as suicide, role of investigative bias | 2018-10-10 |
| Henry George Wilson aka Albert Wilson inquest findings PDF (145.8 KB) | 21 August 2018 | 21 September 2018 | Darwin Local Court | Inquest findings | 2018 | Unexpected death in Hospital caused by injury during procedure, not reported to coroner, failure to treat elderly man dying in pain, failure to communicate appropriately with family during treatment and after death | 2018-09-21 |
| David Fensom inquest findings PDF (100.5 KB) | 21 August 2018 | 21 September 2018 | Darwin Local Court | Inquest findings | 2018 | Delay in diagnosis, unexpected death, poor communication with family, no report to Coroner | 2018-09-21 |
| Paula Schubert inquest findings PDF (121.2 KB) | 25 June 2018 | 25 July 2018 | Darwin Local Court | Inquest findings | 2018 | Employee with mental health issues, treated inappropriately by employer, bullying behaviour, Mental Health Service poor note keeping and stakeholder engagement | 2018-07-25 |
| Sasha Green inquest findings PDF (206.0 KB) | 17 April 2018 | 21 June 2018 | Tennant Creek Local Court | Inquest findings | 2018 | Unlawful killing, inexperienced investigators, inadequate investigation, inadequate supervision by senior police, continued inability by some investigators to adequately assess evidence, continuing destruction by police of vital forensic material | 2018-06-21 |
| Naomi Smith inquest findings PDF (115.0 KB) | 09 April 2018 | 19 June 2018 | Darwin Local Court | Inquest findings | 2018 | Death in Custody, complex mental health presentation, inadequate resources available in Alice Springs | 2018-06-19 |
| Asera aka Ezra Young inquest findings PDF (109.1 KB) | 19 March 2018 | 06 April 2018 | Darwin Local Court | Inquest findings | 2018 | Death in custody, police entry to private residence, waking an intoxicated and elderly man, absence of police powers, duty of care not fulfilled, not recognised as custody incident, delayed investigation | 2018-04-06 |
| Daniel Bradshaw inquest findings PDF (3.6 MB) | 11 December 2017 | 08 February 2018 | Darwin Local Court | Inquest findings | 2018 | Death of deckhand, dangerous access and egress from vessel, no gangway, regulatory response to death | 2018-02-08 |
| Vernon Bonson inquest findings PDF (79.2 KB) | 22 January 2018 | 07 February 2018 | Darwin Local Court | Inquest findings | 2018 | Death in custody, hanging from fan in correctional facility, department developing solution to prevent fans holding body weight, recording of reasons for transfer of prisoners within prison | 2018-02-07 |
| Ronnie Nelson inquest findings PDF (54.2 KB) | 01 December 2017 | 19 January 2018 | Alice Springs | Inquest findings | 2018 | Death in custody, natural causes, released on bail for payback | 2018-01-19 |
| Addison Anthony inquest findings PDF (112.7 KB) | 13 November 2017 | 11 January 2018 | Darwin Local Court | Inquest findings | 2018 | Death in custody, likely autoimmune disease, medical treatment appropriate, failure of Correctional Services to notify family of illness until after death | 2018-01-11 |
| Peter Bonnell inquest findings PDF (4.4 MB) | 24 October 2017 | 11 January 2018 | Darwin Local Court | Inquest findings | 2018 | Collision by motorcycle rider with temporary traffic control devices, rider impairment, failure to install traffic control devices in accordance with Australian Standard, report to DP | 2018-01-11 |
| Damien Kyle-Little inquest findings PDF (96.4 KB) | 12 October 2017 | 24 November 2017 | Darwin | Inquest findings | 2017 | Fall from a tower, no high risk work licence, no harness, non-compliance with Safe Work Method Statement | 2017-11-24 |
| Dale Walkinshaw inquest findings PDF (85.6 KB) | 16 October 2017 | 21 November 2017 | Darwin Local Court | Inquest findings | 2017 | Death in Custody, transporting in caged police vehicle, duty of care, bootlace attached to grill of vehicle cage and then around neck, police inability to see what happening in cage, failure by police to mitigate the risks of the poor vision | 2017-11-21 |
| John Roberts inquest findings PDF (199.2 KB) | 18 September 2017 | 13 October 2017 | Darwin Local Court | Inquest findings | 2017 | Death in Custody, Darwin Correctional Precinct, mental health treatment, water intoxication, Olanzapine toxicity | 2017-10-13 |
| Ruby Blitner inquest findings PDF (61.6 KB) | 18 July 2017 | 10 August 2017 | Katherine Local Court | Inquest findings | 2017 | Death in care, natural causes, appropriate care, timeliness of police investigation, Territory Families compliance with request for files | 2017-08-10 |
| Roy Melbourne inquest findings PDF (73.8 KB) | 26 June 2017 | 21 July 2017 | Darwin Local Court | Inquest findings | 2017 | Hanging from fan in correctional facility, failure to install mechanism to prevent fans holding body weight, lack of reintegration systems for some long term prisoners | 2017-07-21 |
| John Munkara inquest findings PDF (86.2 KB) | 15 June 2017 | 29 June 2017 | Darwin Local Court | Inquest findings | 2017 | Death in Police custody, Police Communications failure to pass on request for an ambulance, no facemask in Police vehicle, no treatment under Alcohol Mandatory Treatment scheme, unlawful discharge from assessment facility | 2017-06-29 |
| Edward Laurie inquest findings PDF (119.2 KB) | 23 May 2017 | 15 June 2017 | Darwin Local Court | Inquest findings | 2017 | Long term petrol sniffing, failure to realise objects of the Volatile Substance Abuse Prevention Act, failure to provide a treatment program, failure to follow processes outlined in Act | 2017-06-15 |
| Baby S inquest findings PDF (132.3 KB) | 09 May 2017 | 09 June 2017 | Alice Springs | Inquest findings | 2017 | Death in Care, Aboriginal baby, appropriate care and attention, kinship arrangements, sudden death. | 2017-06-09 |
| Baby S inquest findings PDF (132.7 KB) | 09 May 2017 | 09 June 2017 | Alice Springs Local Court | Inquest findings | 2017 | Death in Care, Aboriginal baby, appropriate care and attention, kinship arrangements, sudden death | 2017-06-09 |
| Heather Fotiades inquest findings PDF (117.1 KB) | 10 April 2017 | 05 May 2017 | Darwin Local Court | Inquest findings | 2017 | Medical practitioners prescribing high dose opioids for chronic non-cancer pain, addiction, failure of system to identify prescription shopping, failure to taper high doses to safer levels, failure of pain specialist to reduce dose despite unsafe levels and knowledge drugs ineffective in relieving p | 2017-05-05 |
| Ashley Richards inquest findings PDF (190.6 KB) | 13 February 2017 | 07 April 2017 | Darwin Local Court | Inquest findings | 2017 | Vehicle Hijacking and further robbery, firearm, joyriding youth, limited options for apprehension, limited coordination and control of police resources | 2017-04-07 |
| Gabby Wanambi inquest findings PDF (128.2 KB) | 16 February 2017 | 07 April 2017 | Darwin Local Court | Inquest findings | 2017 | Twisted ankle, developed sepsis, not recognised by emergency department in hospital, no attendance by on-call doctor, second death at hospital due to undiagnosed sepsis | 2017-04-07 |
| Irene Magriplis inquest findings PDF (219.3 KB) | 06 March 2017 | 30 March 2017 | Darwin Local Court | Inquest findings | 2017 | High risk elective surgery, inadequate medical treatment, inadequate resources at Darwin Private Hospital, inadequate escalation procedure, no internal review, referral to Medical Board | 2017-03-30 |
| Ray Gibson inquest findings PDF (142.9 KB) | 14 December 2016 | 13 January 2017 | Alice Springs Local Court | Inquest findings | 2017 | Death in Custody, natural causes | 2017-01-13 |
| Ronnie Beasley inquest findings PDF (224.8 KB) | 14 December 2016 | 13 January 2017 | Alice Springs Local Court | Inquest findings | 2017 | Death in Custody, natural causes | 2017-01-13 |
| Michael Smedley inquest findings PDF (243.4 KB) | 12 December 2016 | 13 January 2017 | Alice Springs Local Court | Inquest findings | 2017 | Baby died of traumatic head injury, initial disagreement between medical experts, disagreement resolved, referred back to Police | 2017-01-13 |
| Noel Ramage inquest findings PDF (40.9 KB) | 09 January 2017 | 09 January 2017 | Darwin Local Court | Inquest findings | 2017 | accidental drowning | 2017-01-09 |
| Justin Morgan-Parke inquest findings PDF (41.7 KB) | 14 November 2016 | 14 November 2016 | Darwin Local Court | Inquest findings | 2016 | accidental drowning | 2016-11-14 |
| Krista Lloyd inquest findings PDF (63.0 KB) | 12 October 2016 | 17 October 2016 | Darwin Local Court | Inquest findings | 2016 | Delay in provision of autopsy report, delay in Coronial Investigation | 2016-10-17 |
| Wendy Murphy inquest findings PDF (207.1 KB) | 08 August 2016 | 21 September 2016 | Alice Springs Local Court | Inquest findings | 2016 | Domestic Violence, ten year history of violence, time to consider a different approach | 2016-09-21 |
| Natalie McCormack inquest findings PDF (204.3 KB) | 08 August 2016 | 21 September 2016 | Alice Springs Local Court | Inquest findings | 2016 | Domestic Violence, ten year history of violence, time to consider a different approach | 2016-09-21 |
| Jethro Dhamarrandji-Baker inquest findings PDF (65.1 KB) | 15 August 2016 | 05 September 2016 | Darwin Local Court | Inquest findings | 2016 | School sports carnival accident, “Troopy Pull” activity, children too close to vehicle, child run over by vehicle, the distance between the vehicle and the participants was unsafe, failure to prepare a proper risk assessment | 2016-09-05 |
| Christopher Murrungun inquest findings PDF (114.0 KB) | 10 May 2016 | 02 September 2016 | Darwin Local Court | Inquest findings | 2016 | Death in Custody, protective custody, transporting on cage floor when ambulance available, Police failure to comply with legislation, failure to establish and record identity for the purposes of Alcohol Mandatory Treatment, deceased not subject to scheme despite many episodes of protective custody since scheme introduced | 2016-09-02 |
| Marrianne Munkara inquest findings PDF (76.0 KB) | 08 June 2016 | 02 September 2016 | Darwin Local Court | Inquest findings | 2016 | Death at Sobering up Shelter, Police systems non-compliant, failure to record protective custody episodes, no referral for assessment for Alcohol Mandatory Treatment | 2016-09-02 |
| Dean Jigili inquest findings PDF (60.9 KB) | 06 June 2016 | 11 July 2016 | Darwin Local Court | Inquest findings | 2016 | Person in Care, psychosis, involuntary admission, absconded from Cowdy Ward, hanging, response from Top End Mental Health | 2016-07-11 |
| Peter Fittock inquest findings PDF (45.1 KB) | 13 May 2016 | 29 June 2016 | Darwin Local Court | Inquest findings | 2016 | Death in Custody, prison death, hanging, care & supervision appropriate | 2016-06-29 |
| Richard Kunia inquest findings PDF (36.1 KB) | 22 June 2016 | 22 June 2016 | Alice Springs Local Court | Inquest findings | 2016 | Death of child in care, expected death due to congenital serious medical conditions, appropriate care and treatment | 2016-06-22 |
| Kevin Steel inquest findings PDF (40.2 KB) | 21 June 2016 | 21 June 2016 | Alice Springs Local Court | Inquest findings | 2016 | Death in custody, of natural causes while in prison, care and treatment appropriate | 2016-06-21 |
| Madeline Downman inquest findings PDF (452.9 KB) | 11 April 2016 | 08 June 2016 | Darwin Local Court | Inquest findings | 2016 | Death in Care, self-harm leading to death, quality of care, Mental Health of deceased and treatment and respon | 2016-06-08 |
| Ryan Harry Donoghue inquest findings PDF (2.4 MB) | 18 April 2016 | 03 June 2016 | Darwin Local Court | Inquest findings | 2016 | Electrocution on fishing vessel, noncompliance with Work Health and Safety legislation, previous coronial recommendations for similar death, confusing regulatory regime, lack of response by regulators | 2016-06-03 |
| Bundy Namarnyilk inquest findings PDF (91.5 KB) | 13 April 2016 | 22 April 2016 | Darwin Magistrates Court | Inquest findings | 2016 | Death in Custody, death in prison, death by natural causes, care & treatment while in custody | 2016-04-22 |
| William Brown inquest findings PDF (156.1 KB) | 09 March 2016 | 21 April 2016 | Darwin Magistrates Court | Inquest findings | 2016 | Accidental death from falling tree branch, dangerous trees, inspection and maintenance of trees, negligence. | 2016-04-21 |
| Styles Isaac King inquest findings PDF (291.5 KB) | 16 February 2016 | 18 March 2016 | Katherine Magistrates Court | Inquest findings | 2016 | Death as a result of positional asphyxia, crowd controllers and their training. | 2016-03-18 |
| Ronald Donaldson inquest findings PDF (135.3 KB) | 27 January 2016 | 09 March 2016 | Darwin Magistrates Court | Inquest findings | 2016 | Violent death, mentally ill offender, indicators of threat, institutional response. | 2016-03-09 |
| Zoe Woolmer inquest findings PDF (131.6 KB) | 05 October 2015 | 25 November 2015 | Alice Springs Magistrates Court | Inquest findings | 2015 | Tour groups, risky behaviour, inappropriate tour guide training, photo opportunities at cliff edge, fall from cliff, tour operator’s failures, park authority’s failure to enforce conditions of permit | 2015-11-25 |
| Angus Dixon inquest findings PDF (42.3 KB) | 09 October 2015 | 25 November 2015 | Alice Springs Magistrates Court | Inquest findings | 2015 | Death in Care, Natural causes, Delay in Reporting | 2015-11-25 |
| William Scott and Lanh Van Tran inquest findings PDF (142.7 KB) | 07 September 2015 | 30 October 2015 | Darwin Magistrates Court | Inquest findings | 2015 | Crocodile attack, taken from boat, unsuitability of small and unstable boats in crocodile waters, fishing from bank of river, dangers inherent | 2015-10-30 |
| John Angeles inquest findings PDF (109.0 KB) | 13 August 2015 | 16 October 2015 | Darwin Magistrates Court | Inquest findings | 2015 | Death in Custody, Terminally ill prisoner | 2015-10-16 |
| Kerry James Murphy inquest findings PDF (84.2 KB) | 25 July 2016 | 01 September 2015 | Darwin Local Court | Inquest findings | 2015 | Fall in hospital, no falls risk policy, no handover of fall or neurological observations, subdural bleed | 2015-09-01 |
| Virginia Brown inquest findings PDF (209.7 KB) | 06 July 2015 | 14 August 2015 | Alice Springs Magistrates Court | Inquest findings | 2015 | Death in Care, compulsory care and treatment in Alcohol rehabilitation centre, Death in mandatory detention | 2015-08-14 |
| Perry Langdon inquest findings PDF (159.7 KB) | 11 August 2015 | 14 August 2015 | Darwin Magistrates Court | Inquest findings | 2015 | Death in custody, “paperless arrest scheme”; care and treatment whilst in Darwin Watch House, overrepresentation of Aboriginal people in custod | 2015-08-14 |
| Dennis Wurramarrba inquest findings PDF (158.0 KB) | 26 May 2015 | 31 July 2015 | Darwin Magistrates Court | Inquest findings | 2015 | Motor vehicle accident, drink driver, police pursuit, Death in Custody. | 2015-07-31 |
| Clare Harrison inquest findings PDF (286.0 KB) | 09 July 2015 | 10 July 2015 | Alice Springs Magistrates Court | Inquest findings | 2015 | Death in Care; treatment for “Anorexia Nervosa”; Mental Health detention | 2015-07-10 |
| Raymond McDonald inquest findings PDF (226.3 KB) | 09 March 2015 | 13 April 2015 | Darwin Magistrates Court | Inquest findings | 2015 | Death in Custody, Death by natural causes, Treatment and care whilst in Custody | 2015-04-13 |
| Ryan Ashton inquest findings PDF (128.4 KB) | 12 March 2015 | 27 March 2015 | Darwin Magistrates Court | Inquest findings | 2015 | Death by drowning, dangers of alcohol associated with swimming | 2015-03-27 |
| Levi Griffiths inquest findings PDF (145.1 KB) | 09 February 2015 | 02 March 2015 | Darwin Magistrates Court | Inquest findings | 2015 | Intoxicated driver; fleeing scene of collision with pedestrian, fail to report accident to Police or hospital; placing body away from scene, Hells Angels Outlaw Motorcycle club. | 2015-03-02 |
| Victor Campbell inquest findings PDF (85.8 KB) | 16 February 2015 | 19 February 2015 | Alice Springs Magistrates Court | Inquest findings | 2015 | Death in Custody, Alice Springs Correctional Services, natural causes, care and treatment. | 2015-02-19 |
| Desmond Tilmouth inquest findings PDF (98.2 KB) | 17 February 2015 | 19 February 2015 | Alice Springs Magistrates Court | Inquest findings | 2015 | Death in Custody, Alice Springs Correctional Services, natural causes, care and treatment. | 2015-02-19 |
| Anthony Faulkner inquest findings PDF (92.4 KB) | 08 December 2014 | 21 January 2015 | Darwin Magistrates Court | Inquest findings | 2015 | Death in Care, mental Health patient, sudden & unexpected death, heart attack. | 2015-01-21 |
| Neil McNab inquest findings PDF (1.6 MB) | 26 November 2014 | 30 December 2014 | Darwin Magistrates Court | Inquest findings | 2014 | Accidental death, ultralight aircraft crash, dangers associated with flying such aircraft | 2014-12-30 |
| Simone Montgomerie inquest findings PDF (118.0 KB) | 29 September 2014 | 01 December 2014 | Darwin Magistrates Court | Inquest findings | 2014 | Jockey, fall from horse during Darwin cup, horse baulking at crossing; Darwin Turf Club, Thoroughbred Racing NT. | 2014-12-01 |
| Francis Gaykamangu inquest findings PDF (65.2 KB) | 13 May 2014 | 03 November 2014 | Darwin Magistrates Court | Inquest findings | 2014 | Death of young Aboriginal man from coronary artery disease; early recognition/diagnosis of coronary artery disease in young Aboriginal people in particular; connected to Findings in the associated inquest of Dion Daniels | 2014-11-03 |
| Dion Daniels inquest findings PDF (244.5 KB) | 09 September 2014 | 03 November 2014 | Darwin Magistrates Court | Inquest findings | 2014 | Death of young Aboriginal man from coronary artery thrombosis; early recognition/diagnosis of coronary artery disease in young Aboriginal people in particular | 2014-11-03 |
| Haidar Ali Ikhtiyar inquest findings PDF (92.3 KB) | 06 October 2014 | 03 November 2014 | Darwin Magistrates Court | Inquest findings | 2014 | Death in Federal custody; Detention of asylum seeker; Psychological Care and Treatment; Suicide. | 2014-11-03 |
| Richard Baird inquest findings PDF (244.3 KB) | 22 September 2014 | 14 October 2014 | Darwin Magistrates Court | Inquest findings | 2014 | Unexpected death by drowning, drainage, secured access to drains, municipal responses thereto. | 2014-10-14 |
| Braydon Brown inquest findings PDF (292.2 KB) | 09 July 2014 | 01 September 2014 | Alice Springs Magistrates Court | Inquest findings | 2014 | Bacterial meningitis; need for early intervention; Yuendumu Clinic; CARPA manua | 2014-09-01 |
| Baby C inquest findings PDF (1.5 MB) | 22 July 2014 | 01 September 2014 | Alice Springs Magistrates Court | Inquest findings | 2014 | Death of baby in care of foster parent; cause of death undetermined; care and treatment whilst at hospital and in care. | 2014-09-01 |
| Michael Pedersen inquest findings PDF (103.8 KB) | 07 July 2014 | 24 July 2014 | Alice Springs Magistrates Court | Inquest findings | 2014 | Collision between car and motorcycle, Inadequate road markings, Ilparpa Road, Clay Pans. | 2014-07-24 |
| Ryan Smiler inquest findings PDF (222.1 KB) | 19 May 2014 | 21 July 2014 | Darwin Magistrates Court | Inquest findings | 2014 | Death in Custody, Death by natural causes, care and treatment whilst in Custody. | 2014-07-21 |
| Pauline Iris Abbott, Kendrick Oliver and Joy McNamara inquest findings PDF (100.3 KB) | 29 April 2014 | 11 July 2014 | Alice Springs Magistrates Court | Inquest findings | 2014 | Motor Vehicle Accident, Multiple Deaths, Police Involvement | 2014-07-11 |
| Benjamin Wilton inquest findings PDF (151.0 KB) | 07 April 2014 | 27 May 2014 | Darwin Magistrates Court | Inquest findings | 2014 | Motor Vehicle Death; Fitness to drive of elderly drivers | 2014-05-27 |
| Eric Lewis Wobona inquest findings PDF (76.7 KB) | 18 February 2014 | 15 May 2014 | Katherine Magistrates Court | Inquest findings | 2014 | Death due to Coronary Artery and Heart Disease | 2014-05-15 |
| Joshua Stephen Walsh inquest findings PDF (190.9 KB) | 03 December 2013 | 19 March 2014 | Darwin Magistrates Court | Inquest findings | 2014 | Gunshot Suicide, Police Siege | 2014-03-19 |
| Vikki Riley inquest findings PDF (84.6 KB) | 14 January 2014 | 23 January 2014 | Darwin Magistrates Court | Inquest findings | 2014 | Motor vehicle accident, cyclist death, unregulated pedestrian crossing of multi-lane roadway. | 2014-01-23 |
| Miss M inquest findings PDF (95.4 KB) | 17 December 2013 | 18 December 2013 | Katherine Magistrates Court | Inquest findings | 2013 | Death in care, natural cause death, care and treatment exemplary | 2013-12-18 |
| Paul James Du Toit inquest findings PDF (68.7 KB) | 18 November 2013 | 04 December 2013 | Darwin Magistrates Court | Inquest findings | 2013 | Unexpected death, beach drowning, unexplained injuries. | 2013-12-04 |
| Sara Lorraine Hampel inquest findings PDF (3.4 MB) | 20 August 2013 | 20 November 2013 | Darwin Magistrates Court | Inquest findings | 2013 | Sepsis, necrotising fasciitis, death in medical care | 2013-11-20 |
| Gwyyneth Cassiopeia-Roennfeldt inquest findings PDF (228.4 KB) | 13 August 2013 | 15 October 2013 | Alice Springs Magistrates Court | Inquest findings | 2013 | Fatal stabbing, care and treatment for mentally ill persons, schizophrenia. | 2013-10-15 |
| Damien Hughes inquest findings PDF (73.6 KB) | 02 September 2013 | 30 September 2013 | Darwin Magistrates Court | Inquest findings | 2013 | Death in Custody, natural causes | 2013-09-30 |
| Kevin Taylor, Lena Yali and Gregory McNamara inquest findings PDF (140.4 KB) | 20 May 2013 | 20 June 2013 | Darwin Magistrates Court | Inquest findings | 2013 | Collision at intersection, multiple deaths, Airservices fire truck, emergency services. | 2013-06-20 |
| Michael Chisholm, Aaliyaha Webb and Julian Chisholm inquest findings PDF (139.8 KB) | 19 March 2013 | 15 May 2013 | Darwin Magistrates Court | Inquest findings | 2013 | Killing of children, suicide, police response to child welfare complaint, grief counsellor. | 2013-05-15 |
| Jennifer Taylor and Clifford Norman inquest findings PDF (700.9 KB) | 26 February 2013 | 22 March 2013 | Alice Springs Magistrates Court | Inquest findings | 2013 | Motor vehicle crash, death in custody, police general order Emergency Vehicle Driving (EVD) and pursuit driving | 2013-03-22 |
| Peter Clarke inquest findings PDF (117.0 KB) | 15 October 2013 | 13 February 2013 | Alice Springs Magistrates Court | Inquest findings | 2013 | Death in Custody, serving prisoner, terminal illness, care and treatment thereof. | 2013-02-13 |
| Yong Lam Chai inquest findings PDF (59.1 KB) | 09 November 2012 | 16 November 2012 | Darwin Magistrates Court | Inquest findings | 2012 | Death in Custody; Prison care and treatment; Natural Cause Death | 2012-11-16 |
| Ben James Witham inquest findings PDF (113.3 KB) | 28 August 2012 | 29 October 2012 | Darwin Magistrates Court | Inquest findings | 2012 | Death by natural causes, adequacy of medical care, arsenic poisoning, closure of property. | 2012-10-29 |
| Name 'N' inquest findings PDF (49.0 KB) | 26 October 2012 | 29 October 2012 | Darwin Magistrates Court | Inquest findings | 2012 | Death in Care, mandatory inquest, No criticism or recommendations | 2012-10-29 |
| Terrence Daniel Briscoe inquest findings PDF (2.7 MB) | 12 June 2012 | 17 September 2012 | Alice Springs Magistrates Court | Inquest findings | 2012 | Death in custody, care and treatment whilst in Alice Springs Watch House, alcohol toxicity, positional asphyxia | 2012-09-17 |
| Kalotina Galimitakis inquest findings PDF (1.2 MB) | 16 July 2012 | 27 August 2012 | Darwin Magistrates Court | Inquest findings | 2012 | Unexpected death of baby, Hospital Birth, Paediatric Treatment, Communication with parents | 2012-08-27 |
| Rosalyn Ellen O'Neill inquest findings PDF (93.8 KB) | 29 May 2012 | 10 August 2012 | Darwin Magistrates Court | Inquest findings | 2012 | Motor vehicle accident, rock through windscreen, multiple head injuries | 2012-08-10 |
| Geoffrey James Hewitt inquest findings PDF (72.8 KB) | 01 June 2012 | 03 August 2012 | Darwin Magistrates Court | Inquest findings | 2012 | Car accident, collision with truck, methamphetamine, amphetamine, cannabis, heart failure | 2012-08-03 |
| Master C inquest findings PDF (74.4 KB) | 10 July 2012 | 13 July 2012 | Alice Springs Magistrates Court | Inquest findings | 2012 | Pedestrian motor vehicle accident, fatal injury, person held in care | 2012-07-13 |
| Edward Brown inquest findings PDF (55.0 KB) | 13 July 2012 | 13 July 2012 | Alice Springs Magistrates Court | Inquest findings | 2012 | Death in custody, natural causes | 2012-07-13 |
| Azaria Chantel Chamberlain inquest findings PDF (73.8 KB) | 24 February 2012 | 12 June 2012 | Darwin Magistrates Court | Inquest findings | 2012 | CORONIAL LAW -- INQUEST -- CAUSE OF DEATH Reopening of Inquest – fresh evidence – primary duty – standard of proof – cause of death - expansion of traditional verdicts – taken by animal – dingo | 2012-06-12 |
| Azaria Chantel Chamberlain - Appendix A inquest findings PDF (7.4 MB) | 24 February 2012 | 12 June 2012 | Darwin Magistrates Court | Inquest findings | 2012 | Royal Commission of Inquiry into Chamberlain Convictions, Report, Commonwealth Parliamentary Papers (1987), volume 15, paper 192 | 2012-06-12 |
| Lado Stephen Lazorous inquest findings PDF (128.4 KB) | 28 March 2012 | 20 April 2012 | Darwin Magistrates Court | Inquest findings | 2012 | Accidental death by drowning, Public Aquatic recreational area, Supervision and management thereof | 2012-04-20 |
| Michael Condrick inquest findings PDF (90.7 KB) | 13 December 2011 | 19 April 2012 | Darwin Magistrates Court | Inquest findings | 2012 | Unlawful killing, failings in police investigation with the death, referral back to DPP and Commissioner of Police | 2012-04-19 |
| Master F inquest findings PDF (87.9 KB) | 26 March 2012 | 26 March 2012 | Darwin Magistrates Court | Inquest findings | 2012 | Unexpected death of child in care, mandatory Inquest, quality of treatment and care prior to death. | 2012-03-26 |
| Robert Martin Johnson inquest findings PDF (189.2 KB) | 25 July 2011 | 07 March 2012 | Darwin Magistrates Court | Inquest findings | 2012 | Death in Custody, Suicide by Hanging, Care and Treatment of Deceased in Prison | 2012-03-07 |
| Barnabas Naroldol inquest findings PDF (660.9 KB) | 24 November 2011 | 04 January 2012 | Darwin Magistrates Court | Inquest findings | 2012 | Death in custody, Coronary atherosclerosis, cardiac hypertrophy, care and treatment whist in custody | 2012-01-04 |
| Steven Andrew Forbes inquest findings PDF (67.8 KB) | 23 September 2011 | 03 January 2012 | Darwin Magistrates Court | Inquest findings | 2012 | Death in custody, natural causes, adequacy of custodial medical attention, rheumatic heart disease, swine flu. | 2012-01-03 |
| Bird inquest findings PDF (65.2 KB) | 21 November 2011 | 25 November 2011 | Darwin Magistrates Court | Inquest findings | 2011 | Death in custody, death by self inflicted hanging, care and treatment whilst in custody. | 2011-11-25 |
| Daniel Phillips Johnson inquest findings PDF (81.3 KB) | 20 September 2011 | 18 November 2011 | Darwin Magistrates Court | Inquest findings | 2011 | Death in custody, natural causes, adequacy of custodial medical attention | 2011-11-18 |
| Kerisha Slim inquest findings PDF (89.5 KB) | 27 April 2011 | 14 October 2011 | Katherine Magistrates Court | Inquest findings | 2011 | Chronic Myocarditis, adequacy of medical treatment, air transfer procedures | 2011-10-14 |
| Aaron Nathan Stagg inquest findings PDF (172.5 KB) | 06 September 2011 | 11 October 2011 | Darwin Magistrates Court | Inquest findings | 2011 | Death by Hanging, Self-inflicted, Mental Health Issues, Treatment and Care | 2011-10-11 |
| Shechem Wasan-Garlngarr inquest findings PDF (101.3 KB) | 12 July 2011 | 23 September 2011 | Darwin Magistrates Court | Inquest findings | 2011 | Single vehicle roll-over, intoxicated driver, failure to wear seat belt, police pursuit | 2011-09-23 |
| Linda Nha Tran inquest findings PDF (130.4 KB) | 06 July 2011 | 09 September 2011 | Alice Springs Magistrates Court | Inquest findings | 2011 | Unexpected death in hospital, complications arising at birth and treatment thereof, communications between treating medical professionals | 2011-09-09 |
| Baby M inquest findings PDF (76.1 KB) | 18 July 2011 | 09 September 2011 | Darwin Magistrates Court | Inquest findings | 2011 | Unexpected death of child in care, mandatory Inquest, death from complications arising from neonatal cerebral palsy. | 2011-09-09 |
| Stuart Morris inquest findings PDF (58.7 KB) | 10 August 2011 | 02 September 2011 | Nauiyu Nambiyu Council Chambers, Daly River | Inquest findings | 2011 | Death in custody, attempted apprehension by police, drowning | 2011-09-02 |
| Nicholas Edward Spring inquest findings PDF (128.8 KB) | 09 June 2011 | 29 July 2011 | Darwin Magistrates Court | Inquest findings | 2011 | Mental illness, treatment and care, suicide, after care, counselling for bereaved family. | 2011-07-29 |
| Marilyn Lalara inquest findings PDF (144.8 KB) | 24 May 2011 | 27 July 2011 | Alyangula | Inquest findings | 2011 | Unexpected Death, myocarditis, remote area health facilities and treatment, aero-medical evacuation | 2011-07-27 |
| Kumanjai Marshall inquest findings PDF (474.5 KB) | 08 July 2011 | 13 July 2011 | Alice Springs Magistrates Court | Inquest findings | 2011 | Death in custody; natural causes | 2011-07-13 |
| Peter Murphy (Suppression order in place) inquest findings PDF (439.8 KB) | 12 April 2011 | 06 July 2011 | Alice Springs Family Law Court | Inquest findings | 2011 | Violent death, foul play, belief as to crime | 2011-07-06 |
| Peter Murphy (Suppression order lifted 19.4.17) inquest findings PDF (17.8 KB) | 12 April 2011 | 06 July 2011 | Alice Springs Family Court | Inquest findings | 2011 | Violent death, foul play, belief as to crime | 2011-07-06 |
| Leo Kauka Simukka inquest findings PDF (66.6 KB) | 16 June 2011 | 24 June 2011 | Darwin Magistrates Court | Inquest findings | 2011 | Unexpected death, subdural haemorrhage | 2011-06-24 |
| Damon Cabiddu inquest findings PDF (127.0 KB) | 15 March 2011 | 01 June 2011 | Darwin Magistrates Court | Inquest findings | 2011 | Unexpected death in hospital, difficulty in diagnosing appendicitis in children | 2011-06-01 |
| Marlon Aidan Clancy inquest findings PDF (109.7 KB) | 22 February 2011 | 13 May 2011 | Darwin Magistrates Court | Inquest findings | 2011 | Infant death, suffocation, mother/infant co-sleeping | 2011-05-13 |
| Kieffen Owen Raggett inquest findings PDF (711.1 KB) | 30 November 2010 | 08 April 2011 | Borroloola / Darwin Magistrates Court | Inquest findings | 2011 | Suspicious death; inadequate police Investigation, delay, belief in crime committed | 2011-04-08 |
| Dwayne Joseph Berto inquest findings PDF (80.5 KB) | 27 January 2011 | 15 March 2011 | Darwin Magistrates Court | Inquest findings | 2011 | Suicide by hanging, circumstances in relation thereto including alcohol and violence | 2011-03-15 |
| Emma Jane Claridge inquest findings PDF (1.5 MB) | 25 October 2010 | 04 February 2011 | Darwin Magistrates Court | Inquest findings | 2011 | Death in Care, Mental Health treatment, In patient leave, Suicide | 2011-02-04 |
| Deryck Michael Calvert inquest findings PDF (773.5 KB) | 09 November 2010 | 23 December 2010 | Darwin Magistrates Court | Inquest findings | 2010 | Motor vehicle crash, police pursuit policy | 2010-12-23 |
| Kristelle Ruby Mulladad aka Oliver inquest findings PDF (109.0 KB) | 10 August 2010 | 29 October 2010 | Alice Springs Magistrates Court | Inquest findings | 2010 | Unexpected Death, Management of Referrals, Delay in Treatment. | 2010-10-29 |
| Carl Francis Walker inquest findings PDF (55.3 KB) | 30 September 2010 | 29 October 2010 | Darwin Magistrates Court | Inquest findings | 2010 | Death in Custody, natural causes, importance of medical notes | 2010-10-29 |
| Adam Francis Chandler inquest findings PDF (89.1 KB) | 30 June 2010 | 10 September 2010 | Darwin Magistrates Court | Inquest findings | 2010 | Unexpected death, alcohol related deaths in Darwin CBD, Police Watchhouse procedures | 2010-09-10 |
| Michael Aubrey Campbell inquest findings PDF (97.2 KB) | 31 May 2010 | 01 September 2010 | Darwin Magistrates Court | Inquest findings | 2010 | Unexpected baby death, acute heat stress, circumstances unknown, open finding | 2010-09-01 |
| Gottlieb Rubuntja inquest findings PDF (193.4 KB) | 18 May 2010 | 11 August 2010 | Alice Springs Family Court | Inquest findings | 2010 | Death in Custody, use of Taser devices, apprehension of mentally ill persons, apprehension of physically ill persons. | 2010-08-11 |
| Danmirriwuy Yunupingu inquest findings PDF (57.0 KB) | 12 May 2010 | 07 July 2010 | Nhulunbuy Magistrates Court | Inquest findings | 2010 | Unexpected Death, Suicide, Drunkenness, Police Involvement, Liquor Restrictions | 2010-07-07 |
| Desmond Waight inquest findings PDF (563.7 KB) | 13 April 2010 | 05 July 2010 | Darwin Magistrates Court | Inquest findings | 2010 | Death from bronchopneumonia, 81 year old man, nursing home resident, palliative care. | 2010-07-05 |
| Cedric Trigger inquest findings PDF (91.7 KB) | 09 March 2010 | 19 May 2010 | Alice Springs Magistrates Court | Inquest findings | 2010 | Death in custody, Role of watch house keeper, watch house procedures, risk assessment of intoxicated prisoners | 2010-05-19 |
| Zephaniah Namundja inquest findings PDF (78.0 KB) | 19 April 2010 | 22 April 2010 | Darwin Magistrates Court | Inquest findings | 2010 | Motor vehicle accident, police pursuit, remote community, liquor restrictions. | 2010-04-22 |
| Dailyna Byrnes inquest findings PDF (74.3 KB) | 25 March 2010 | 16 April 2010 | Darwin Magistrates Court | Inquest findings | 2010 | Death in care, long stay patient at RDH, dehydration, inadequate patient notes | 2010-04-16 |
| Briony Goodsell inquest findings PDF (67.4 KB) | 22 March 2010 | 13 April 2010 | Darwin Magistrates Court | Inquest findings | 2010 | Crocodile attack, Adequacy of signage, Saltwater Crocodile Management Plan, Public Safety | 2010-04-13 |
| Michael Anthony Hardy and Robert James Roe inquest findings PDF (241.1 KB) | 22 September 2009 | 30 March 2010 | Alice Springs Magistrates Court | Inquest findings | 2010 | Unexpected death, Dog attacks on live person, Dog attacks on deceased persons, Responsibility of relevant agencies. | 2010-03-30 |
| Mohammed Ayubi, Muzafar Sefarali, Mohammed Zamen, Awar Nadar and Baquer Husani inquest findings PDF (563.7 KB) | 25 January 2010 | 17 March 2010 | Darwin Magistrates Court / Darwin Supreme Court | Inquest findings | 2010 | Detention of persons by Australian Defence Force members, violent & unexpected death of asylum seekers, apprehension of illegal entry boat, explosion on boat, rescue of multiple survivors. | 2010-03-17 |
| Baby Kalib (Child 7) inquest findings PDF (1.5 MB) | 11 May 2009 | 19 January 2010 | Darwin Magistrates Court / Alice Springs Magistrates Court | Inquest findings | 2010 | Death of baby interstate but normally resident of Northern Territory, child in need of care, responsibilities of relevant Government agencies. | 2010-01-19 |
| Deborah Leanne Melville inquest findings PDF (3.1 MB) | 23 November 2009 | 19 January 2010 | Aboriginal Land Commissioners Court | Inquest findings | 2010 | Child in Care of the Minister, reportable death of child, care received prior to death, problems with relevant government agency. | 2010-01-19 |
| Barbara Malthouse, Nigel Inkamala, Daryl Inkamala, Dion Ngalken, Gordon Murray and Antonia Meneri inquest findings PDF (105.6 KB) | 03 November 2009 | 17 December 2009 | Alice Springs Magistrates Courts | Inquest findings | 2009 | Motor vehicle accident, police pursuit, pursuit policy and training, adequacy and timeliness of police investigation | 2009-12-17 |
| Matthew Winsloe Hinton inquest findings PDF (137.8 KB) | 27 October 2009 | 02 December 2009 | Darwin Magistrates Court | Inquest findings | 2009 | Unexpected death, recreational drug overdose, police response, ambulance response, medical response. | 2009-12-02 |
| Alma June Green inquest findings PDF (68.8 KB) | 09 September 2009 | 27 November 2009 | Darwin Magistrates Court | Inquest findings | 2009 | Unexpected hospital death, injuries resulting from a fall, adequacy of patient notes. | 2009-11-27 |
| Jaron Mamarika, Dwayne Bara, Jaross Amagula and Francene Huddleston inquest findings PDF (104.6 KB) | 01 October 2009 | 27 November 2009 | Alyangula Magistrates Court | Inquest findings | 2009 | Motor vehicle accident, multiple deaths, driver education, unsealed roads in remote localities. | 2009-11-27 |
| Maureen Caroline Thomson inquest findings PDF (112.2 KB) | 13 July 2009 | 24 November 2009 | Darwin Magistrates Court | Inquest findings | 2009 | Unexpected hospital death, communication with patient’s family | 2009-11-24 |
| Clifton Wayne Pamkal inquest findings PDF (176.1 KB) | 24 March 2009 | 15 October 2009 | Darwin Magistrates Court, Bulman (Opening) and Katherine Courts | Inquest findings | 2009 | Death in custody, escapee, Police search, suicide. | 2009-10-15 |
| Danny Borrak Gumana inquest findings PDF (185.0 KB) | 12 August 2009 | 28 September 2009 | Nhulunbuy Magistrates Court | Inquest findings | 2009 | Intentional self-inflicted hanging, police conveyances, suicide in East Arnhem | 2009-09-28 |
| Kenneth William Hill inquest findings PDF (79.9 KB) | 16 February 2009 | 30 June 2009 | Darwin Magistrates Courts | Inquest findings | 2009 | Unexpected death in Hospital on admission, Heart disease, Triage, Nursing protocols | 2009-06-30 |
| Robert Plasto-Lehner and David Gurralpa aka Moscow inquest findings PDF (261.3 KB) | 25 February 2009 | 10 June 2009 | Darwin Magistrates Court | Inquest findings | 2009 | Death in Custody and care, restraint by police, positional asphyxia, police training in relation thereto, report of crime committed. | 2009-06-10 |
| Kunmanara Forbes inquest findings PDF (118.8 KB) | 22 April 2009 | 04 June 2009 | Alice Springs Magistrates Court | Inquest findings | 2009 | Hanging of young person – petrol sniffing – sexual abuse – remote communities - effectiveness of FACS and other government intervention – police delay in coronial investigation | 2009-06-04 |
| Declan McConville inquest findings PDF (93.8 KB) | 03 February 2009 | 28 May 2009 | Darwin Magistrates Courts | Inquest findings | 2009 | Reportable Hospital Death, baby born with shoulder dystocia, ramifications & treatment, critical review. | 2009-05-28 |
| Paul Guarini inquest findings PDF (83.9 KB) | 15 December 2008 | 09 April 2009 | Darwin | Inquest findings | 2009 | Person in care, Mental Health Patient, Suicide, Mandatory Inquest | 2009-04-09 |
| Georgia Rae Tilmouth inquest findings PDF (162.2 KB) | 12 November 2008 | 09 April 2009 | Darwin | Inquest findings | 2009 | Unexpected death in hospital, obstetric care, non-reporting of death to the Coroner. | 2009-04-09 |
| Peter Jacobs inquest findings PDF (93.3 KB) | 19 February 2009 | 20 February 2009 | Darwin Magistrates Court | Inquest findings | 2009 | Death in custody, Police duty of care, Watch House procedures, Medical treatment. | 2009-02-20 |
| Jenissa Ryan inquest findings PDF (82.8 KB) | 25 September 2008 | 23 December 2008 | Alice Springs | Inquest findings | 2008 | Absconding juvenile patient, relevant hospital policy and non-compliance with it, subsequent hospital actions | 2008-12-23 |
| Paulo Melo inquest findings PDF (161.5 KB) | 21 October 2008 | 18 December 2008 | Darwin | Inquest findings | 2008 | Motor accident causing severe injury, medical treatment thereof, decision to cease mechanical ventilation consequent on poor prognosis, communication between health professionals and family | 2008-12-18 |
| Sandra McRae inquest findings PDF (144.1 KB) | 16 July 2008 | 29 October 2008 | Darwin | Inquest findings | 2008 | Unexpected Hospital Death, Pulmonary Embolism as a consequence of Fractures, Care and Treatment Thereof. | 2008-10-29 |
| Rebecka Hans inquest findings PDF (97.5 KB) | 08 October 2008 | 10 October 2008 | Darwin | Inquest findings | 2008 | Death in Custody, suicidal deceased, police efforts to assist, suicide | 2008-10-10 |
| Margaret Winter inquest findings PDF (172.6 KB) | 29 April 2008 | 04 September 2008 | Darwin | Inquest findings | 2008 | Reportable death in hospital, patient fall, medical treatment, hospital nursing | 2008-09-04 |
| Peter Limbunya inquest findings PDF (168.3 KB) | 13 November 2007 | 01 September 2008 | Kalkaringi Court and Katherine Court | Inquest findings | 2008 | Reportable death, preventable death at remote airstrip, patient travel . | 2008-09-01 |
| Robert Daly inquest findings PDF (80.4 KB) | 07 April 2008 | 01 September 2008 | Nauiyu Nambiyu Govt. Council Building, Daly River | Inquest findings | 2008 | Death in Custody, police responses, Health Worker responses. | 2008-09-01 |
| Wayne Walker and Jacqueline Morrison inquest findings PDF (82.3 KB) | 26 August 2008 | 26 August 2008 | Darwin | Inquest findings | 2008 | Death in Custody, police endeavouring to detain, murder / suicide, Police responses thereto | 2008-08-26 |
| Nicholas Konedaris inquest findings PDF (93.6 KB) | 05 March 2008 | 13 June 2008 | Alice Springs Magistrates Court | Inquest findings | 2008 | Motor vehicle accident, quality of police investigation, police registration of motor vehicles | 2008-06-13 |
| Lee Shaun Wurramarrba inquest findings PDF (44.8 KB) | 03 June 2008 | 03 June 2008 | Darwin | Inquest findings | 2008 | Death in care, Severely disabled young boy, Exceptional and dedicated care by carers | 2008-06-03 |
| Kenny Malthouse inquest findings PDF (153.2 KB) | 10 December 2007 | 15 May 2008 | Alice Springs | Inquest findings | 2008 | Accidental death by suffocation, petrol sniffing, Opal fuel and inherent dangers. | 2008-05-15 |
| Darryll Stuart Davis inquest findings PDF (133.5 KB) | 23 October 2007 | 02 May 2008 | Darwin Magistrates Court | Inquest findings | 2008 | Unexpected death, Electrocution, Electric work at and in remote residential homes, safety practices. | 2008-05-02 |
| Aidan Bott inquest findings PDF (131.3 KB) | 26 February 2008 | 02 May 2008 | Darwin Magistrates Court | Inquest findings | 2008 | Unexpected Student Death by accident, Schoolyard Safety, Responsibilities of School Authorities. | 2008-05-02 |
| Billy Martin inquest findings PDF (60.0 KB) | 12 February 2008 | 13 February 2008 | Katherine Court Katherine | Inquest findings | 2008 | Residential swimming pool party, alcohol ingestion, accidental death by drowning | 2008-02-13 |
| John Russell Ralkurra Marika inquest findings PDF (43.3 KB) | 29 November 2007 | 02 January 2008 | Nhulunbuy Court House | Inquest findings | 2008 | Unexpected death, myocardial infarction (coronary heart disease), circumstances involving violence immediately prior to death. | 2008-01-02 |
| Ricky Ryder inquest findings PDF (119.7 KB) | 18 September 2007 | 10 December 2007 | Alice Springs Court House | Inquest findings | 2007 | Reportable death at Alice Springs Hospital, medically adverse event, hospital resources, preventable death. | 2007-12-10 |
| Robert Jongmin inquest findings PDF (93.2 KB) | 01 October 2007 | 03 December 2007 | Wadeye / Darwin Magistrates Court | Inquest findings | 2007 | Death by gunshot, police shooting, crimes committed. | 2007-12-03 |
| Richard Kiel inquest findings PDF (72.0 KB) | 12 February 2007 | 13 November 2007 | Darwin Magistrates Court | Inquest findings | 2007 | Death from drug overdose, prescribed drugs, medical treatment of known drug addict. | 2007-11-13 |
| Angel Blanco-Puerto, Phillip Lindsay, Barry Gaykamangu and Hannu Kononen inquest findings PDF (120.7 KB) | 23 April 2007 | 12 November 2007 | Darwin Magistrates Court | Inquest findings | 2007 | Unexpected death by natural causes, emergency treatment, Ambulance Service attendance on deceased persons, nil transportation to Hospital | 2007-11-12 |
| Kenneth Plummer inquest findings PDF (42.5 KB) | 12 June 2007 | 17 August 2007 | Tennant Creek Court House | Inquest findings | 2007 | Unexpected death, myocardial infarction, circumstances involving violence immediately prior to death. | 2007-08-17 |
| Monica Presley inquest findings PDF (89.1 KB) | 26 April 2006 | 28 June 2007 | Tennant Creek Court House | Inquest findings | 2007 | Unexpected death of child, electrocution, Public Housing maintenance, faulty or dangerous air conditioning units. | 2007-06-28 |
| Erfinna Patricia Lay and John Weston Quirk inquest findings PDF (94.9 KB) | 14 November 2006 | 18 May 2007 | Darwin Magistrates Court | Inquest findings | 2007 | Deaths resulting from Acute Multiple Drug toxicity, Prescription drugs, Medical treatment prior to death | 2007-05-18 |
| Zachariah Foster inquest findings PDF (40.2 KB) | 03 April 2007 | 05 April 2007 | Alice Springs Court House | Inquest findings | 2007 | Road accident death, alcohol affected pedestrian, involvement of motor vehicle driven by police. | 2007-04-05 |
| Jason Donald inquest findings PDF (184.8 KB) | 04 December 2006 | 16 March 2007 | Katherine Court House | Inquest findings | 2007 | Police Pursuit | 2007-03-16 |
| Isabelle Manyita inquest findings PDF (133.8 KB) | 31 August 2006 | 12 March 2007 | Darwin Magistrates Court | Inquest findings | 2007 | Septicaemia death, medical treatment both before onset of Septicaemia and afterwards | 2007-03-12 |
| Patrick Heenan inquest findings PDF (152.8 KB) | 05 March 2007 | 09 March 2007 | Darwin Magistrates Court | Inquest findings | 2007 | Death in Custody, Darwin Correctional Facility, care and treatment, natural cause death. | 2007-03-09 |
| Skeletal remains inquest findings PDF (59.5 KB) | 23 October 2006 | 26 February 2007 | Jabiru Court House | Inquest findings | 2007 | Skeletal Remains – traditional Aboriginal burial – identification of remains – open finding | 2007-02-26 |
| Tracey Karadji inquest findings PDF (43.5 KB) | 28 August 2006 | 26 February 2007 | Daly River Darwin Magistrates Court | Inquest findings | 2007 | Motor vehicle fatality, police involvement | 2007-02-26 |
| Louisa Turner inquest findings PDF (52.2 KB) | 20 February 2006 | 26 February 2007 | Darwin Magistrates Court | Inquest findings | 2007 | Motor vehicle accident, quality of coronial investigation by police, belief as to crimes. | 2007-02-26 |
| Wendy Walangitj Garmu inquest findings PDF (47.5 KB) | 25 July 2006 | 10 November 2006 | Gove | Inquest findings | 2006 | Death as a result of stabbing, medical treatment thereafter, possible preventable death. | 2006-11-10 |
| Jodie Palipuaminni inquest findings PDF (303.3 KB) | 18 September 2006 | 23 October 2006 | Darwin Magistrates Court | Inquest findings | 2006 | Violent death, domestic violence, parole supervision of violent offenders. | 2006-10-23 |
| Freddie Peterson inquest findings PDF (147.8 KB) | 27 June 2006 | 02 October 2006 | Alice Springs Court House | Inquest findings | 2006 | Death in Custody, Natural Causes Care and supervision of deceased in custody | 2006-10-02 |
| Hector Martin inquest findings PDF (68.0 KB) | 28 March 2006 | 08 September 2006 | Darwin Magistrates Court | Inquest findings | 2006 | Death in Custody, natural cause death, prison supervision of ill inmates. | 2006-09-08 |
| Clifford Brown inquest findings PDF (68.8 KB) | 02 May 2006 | 29 June 2006 | Alice Springs Court House | Inquest findings | 2006 | Motor vehicle accident causing death, emergency medical treatment, criminal / coronial investigation, report to the Commissioner of Police & DPP | 2006-06-29 |
| Cynthia Diane Ching inquest findings PDF (326.6 KB) | 06 March 2006 | 04 May 2006 | Alice Springs Court House | Inquest findings | 2006 | Unexpected & accidental death, work place fire, reference to DPP & Commissioner of Police. | 2006-05-04 |
| Alena Rankine inquest findings PDF (110.8 KB) | 06 March 2006 | 04 May 2006 | Alice Springs Court House | Inquest findings | 2006 | Death of a Child in Care Coroners Act 1993 (NT) s12(1)(a), s15(1)(a) | 2006-05-04 |
| Zena Stevens inquest findings PDF (259.2 KB) | 14 February 2006 | 28 April 2006 | Alice Springs Court House | Inquest findings | 2006 | Unexpected Death, Hospital treatment, Remote Area Medical Services, Coronial Investigation | 2006-04-28 |
| Dolly Granites inquest findings PDF (179.1 KB) | 20 March 2006 | 22 March 2006 | Alice Springs Court House | Inquest findings | 2006 | Reportable Death – Natural Causes – Remote Health Care – Inadequate record keeping | 2006-03-22 |
| Muhammad Heri inquest findings PDF (47.7 KB) | 18 January 2006 | 03 March 2006 | Darwin Magistrates Court | Inquest findings | 2006 | Death in Custody, Federal Agencies and their duty of care to detainees | 2006-03-03 |
| David Mather inquest findings PDF (61.1 KB) | 05 December 2005 | 18 January 2006 | Darwin Magistrates Court | Inquest findings | 2006 | Unexpected death, Missing patient, Hospital “Absconding Patient Policy”, Recommendation | 2006-01-18 |
| Damien Wayne inquest findings PDF (71.3 KB) | 10 October 2005 | 11 November 2005 | Alice Springs Court House | Inquest findings | 2005 | Death in Custody, police pursuit, motor vehicle accident, police pursuit policy. | 2005-11-11 |
| Angus Lawrence inquest findings PDF (147.5 KB) | 05 September 2005 | 31 October 2005 | Darwin Magistrates Court | Inquest findings | 2005 | Death heat stroke Defence Force | 2005-10-31 |
| Shareya Shannon inquest findings PDF (37.7 KB) | 12 October 2005 | 12 October 2005 | Alice Springs Magistrates Court | Inquest findings | 2005 | Death of a Child in Care Coroners Act 1993 (NT) s12(1)(a), s15(1)(a) | 2005-10-12 |
| Kumanjay Presley, Kunmanara Coulthard and Kunmanara Brumby inquest findings PDF (181.2 KB) | 09 August 2005 | 10 October 2005 | Alice Springs Court House | Inquest findings | 2005 | INQUEST –substance abuse (petrol), Aboriginal remote area communities, governmental responses thereto. | 2005-10-10 |
| Anne Chantell Millar inquest findings PDF (95.8 KB) | 01 February 2005 | 02 September 2005 | Darwin Magistrates Court | Inquest findings | 2005 | Death by foul play, Domestic Violence, police conduct in relation to domestic violence restraining order. | 2005-09-02 |
| Marcellus Tipiloura inquest findings PDF (77.0 KB) | 01 November 2004 | 31 August 2005 | Darwin Magistrates Court | Inquest findings | 2005 | Coronial Inquest, death in custody, death from self-inflicted wounds, involvement of police, ambulance officers treatment, reception at hospital. | 2005-08-31 |
| Sampson Paii inquest findings PDF (83.9 KB) | 05 August 2004 | 26 August 2005 | Darwin Magistrates Court | Inquest findings | 2005 | Coronial Inquest, death in custody, death from natural causes, medical facilities at the prison. | 2005-08-26 |
| Dale Vincent inquest findings PDF (52.2 KB) | 02 August 2005 | 26 August 2005 | Darwin Magistrates Court | Inquest findings | 2005 | Inquest – Death In Care – security of mental health facility | 2005-08-26 |
| Warren Maminyamanja inquest findings PDF (92.2 KB) | 14 March 2005 | 26 August 2005 | Darwin Magistrates Court | Inquest findings | 2005 | Death in Custody, Prison Medical Services, Duty of Care | 2005-08-26 |
| Kenny Alderson inquest findings PDF (40.9 KB) | 15 August 2005 | 19 August 2005 | Darwin Magistrates Court | Inquest findings | 2005 | Motor Accident, pedestrian walking into motor vehicle, death by misadventure | 2005-08-19 |
| John Morish inquest findings PDF (116.0 KB) | 18 July 2005 | 19 July 2005 | Darwin Magistrates Court | Inquest findings | 2005 | Accidental death, gunshot wound, firearms use | 2005-07-19 |
| Carlene Coombe inquest findings PDF (263.1 KB) | 21 February 2005 | 19 July 2005 | Darwin Magistrates Court | Inquest findings | 2005 | unexpected death - uncertain and suspicious circumstances concerning death - open finding | 2005-07-19 |
| Bradley Abala inquest findings PDF (166.4 KB) | 03 May 2005 | 27 June 2005 | Alice Springs Court House | Inquest findings | 2005 | cause of death was astrocytoma | 2005-06-27 |
| Albert Robbo inquest findings PDF (215.1 KB) | 09 May 2005 | 09 June 2005 | Katherine Court House | Inquest findings | 2005 | INQUEST – investigation of police conduct – dangerous act by driving – report to Director of Public Prosecutions | 2005-06-09 |
| Alison Woods inquest findings PDF (102.7 KB) | 06 June 2005 | 06 June 2005 | Darwin Magistrates Court | Inquest findings | 2005 | Death in Care – Natural Causes | 2005-06-06 |
| Jacky Barakal inquest findings PDF (148.4 KB) | 29 October 2004 | 10 May 2005 | Maningrida Magistrates Court | Inquest findings | 2005 | Inquest, Telephone request for medical assistance – communications problems MANINGRIDA | 2005-05-10 |
| Peter Wiryal inquest findings PDF (78.4 KB) | 15 November 2004 | 06 April 2005 | Darwin Magistrates Court | Inquest findings | 2005 | Death as a result of a Motor Vehicle Accident, police investigation, referral to Commissioner of Police and Department of Public Prosecutions | 2005-04-06 |
| Desmond Mamarika inquest findings PDF (81.3 KB) | 30 November 2004 | 01 April 2005 | Darwin Magistrates Court | Inquest findings | 2005 | Heart disease, public drunkeness & police response to same, seizure and destruction of alcohol by police. | 2005-04-01 |
| Marshall Yantarrnga inquest findings PDF (43.4 KB) | 07 February 2005 | 29 March 2005 | Darwin Magistrates Court | Inquest findings | 2005 | Coroners: Inquest, ambulance service, failure to convey patient to hospital | 2005-03-29 |
| Raymond Curtain, Terrence Westwood, Gerald Thompson, Gregory Westerman, Graham Dearden and Ruth Vincent inquest findings PDF (52.3 KB) | 17 March 2005 | 17 March 2005 | Darwin Magistrates Court | Inquest findings | 2005 | Missing person during Cyclone Tracy | 2005-03-17 |
| George Bukulatpjpi inquest findings PDF (37.3 KB) | 16 August 2004 | 03 March 2005 | Elcho Island | Inquest findings | 2005 | Inquest, missing person, remote area, police search | 2005-03-03 |
| Debbie Douglas inquest findings PDF (25.1 KB) | 01 March 2005 | 01 March 2005 | Darwin Magistrates Court | Inquest findings | 2005 | Death of a Child in Care Coroners Act 1993 (NT) S12(1)(a), s15(1)(a) | 2005-03-01 |
| William Bunting inquest findings PDF (115.7 KB) | 27 September 2004 | 01 February 2005 | Alice Springs Court House | Inquest findings | 2005 | Coroners Inquest, death in care, mental illness, observation policy, adequacy of staffing levels | 2005-02-01 |
| Marie Kirwin inquest findings PDF (70.0 KB) | 04 May 2004 | 24 December 2004 | Darwin Magistrates Court | Inquest findings | 2004 | Unexpected death, Drowning, uncertain circumstances concerning death, open finding as to some circumstances concerning death. | 2004-12-24 |
| Isobel Von Jordan inquest findings PDF (58.8 KB) | 30 August 2004 | 22 December 2004 | Darwin Magistrates Court | Inquest findings | 2004 | Unexpected death, crocodile attack, regulation of tour guides, national part safety. | 2004-12-22 |
| Valerie Wurramurra inquest findings PDF (74.9 KB) | 01 June 2004 | 20 December 2004 | Groote Eylandt Court House | Inquest findings | 2004 | Unexpected death, uncertain and suspicious circumstances concerning death, quality of police response, open finding | 2004-12-20 |
| Nikita Anderson inquest findings PDF (78.5 KB) | 18 October 2004 | 14 December 2004 | Darwin Magistrates Court | Inquest findings | 2004 | Resuscitation, administration of carbon dioxide | 2004-12-14 |
| Roselle Nelson inquest findings PDF (36.9 KB) | 26 February 2004 | 10 December 2004 | Katherine Court House | Inquest findings | 2004 | Violent death, unreliable witnesses, suspected unlawful killing, reference to Commissioner of Police, DPP | 2004-12-10 |
| Jade Lange-Loades, Rory Lange-Loades and Nathaniel Rose inquest findings PDF (180.6 KB) | 06 September 2004 | 01 October 2004 | Darwin Magistrates Court | Inquest findings | 2004 | Inquest, motor vehicle accident, load restraint, investigation, Accident Investigation Unit | 2004-10-01 |
| Stephen Power inquest findings PDF (57.7 KB) | 03 August 2004 | 05 August 2004 | Darwin Magistrates Court | Inquest findings | 2004 | Inquest, St John Ambulance, ambulance dispatch, refusal to send ambulance | 2004-08-05 |
| John Colbert inquest findings PDF (55.4 KB) | 19 January 2004 | 02 July 2004 | Darwin Magistrates Court | Inquest findings | 2004 | Inquest, death at hospital, staffing levels, Bali bombing, Health Insurance Act, production of documents, quality assurance activity | 2004-07-02 |
| Raymond Campbell inquest findings PDF (52.3 KB) | 22 March 2004 | 18 June 2004 | Darwin Magistrates Court | Inquest findings | 2004 | Inquest, open findings, death by gunshot wound, destruction of evidence | 2004-06-18 |
| Gregory Nunggarrgalu inquest findings PDF (48.2 KB) | 15 June 2004 | 18 June 2004 | Nhulunbuy Court House | Inquest findings | 2004 | Inquest, death from exposure, viewing body after death. | 2004-06-18 |
| Craig Matthews inquest findings PDF (24.8 KB) | 17 November 2003 | 21 May 2004 | Darwin Magistrates Court | Inquest findings | 2004 | death on home detention, drug related unlawful killing | 2004-05-21 |
| Isiah Roberts inquest findings PDF (221.0 KB) | 19 April 2004 | 21 April 2004 | Darwin Magistrates Court | Inquest findings | 2004 | Inquest Death by stabbing, referral pursuant to section 35 of the Coroners Act. | 2004-04-21 |
| Mansur La ibu inquest findings PDF (65.0 KB) | 16 February 2004 | 19 March 2004 | Darwin Magistrates Court | Inquest findings | 2004 | Inquest, Unexpected Death, Public Health & Safety of persons held in detention by Federal Agencies, Death in Custody. | 2004-03-19 |
| Maxwell Murphy inquest findings PDF (28.9 KB) | 01 December 2003 | 16 February 2004 | Darwin Magistrates Court | Inquest findings | 2004 | Death following a physical fight, commission of offences, referral to DPP and Commissioner of Police | 2004-02-16 |
| Robert Dalgleish inquest findings PDF (87.6 KB) | 17 November 2003 | 11 February 2004 | Darwin Magistrates Court | Inquest findings | 2004 | Death in Hospital – Death in consequence of complications of gastric band surgery – Failure of Accident & Emergency Department to provide appropriate treatment. | 2004-02-11 |
| Sarah Johnson inquest findings PDF (52.0 KB) | 03 March 2003 | 10 February 2004 | Darwin Magistrates Court | Inquest findings | 2004 | Death by drowning, referral pursuant to section 35 of the Coroners Act, open finding | 2004-02-10 |
| Rita Anderson inquest findings PDF (44.9 KB) | 01 September 2003 | 21 January 2004 | Darwin Magistrates Court | Inquest findings | 2004 | Inquest, Hospital Procedures, Adult Guardianship Board, Police Communications | 2004-01-21 |
| Souzana Afianos inquest findings PDF (101.5 KB) | 10 November 2002 | 16 January 2004 | Darwin Magistrates Court | Inquest findings | 2004 | Death by secondary haemorrhage – Unexpected death in hospital – Failure to detect haemorrhaging. | 2004-01-16 |
| Sunjay Chandra inquest findings PDF (73.0 KB) | 08 September 2003 | 19 December 2003 | Darwin Magistrates Court | Inquest findings | 2003 | Inquest, mental illness, medication regime, observations of carers, discharge after involuntary admission, protocols for administration of clozapine. | 2003-12-19 |
| Sarah Higgins inquest findings PDF (62.0 KB) | 08 September 2003 | 19 December 2003 | Darwin Magistrates Court | Inquest findings | 2003 | Inquest, death in care, observation policy | 2003-12-19 |
| Skye Bree Burnett inquest findings PDF (53.3 KB) | 13 October 2003 | 15 December 2003 | Darwin Magistrates Court | Inquest findings | 2003 | sudden death in an infant with bronchopulmonary dysplasia | 2003-12-15 |
| Owen King inquest findings PDF (56.0 KB) | 29 July 2003 | 03 December 2003 | Alice Springs Court House | Inquest findings | 2003 | natural causes namely lobar pneumonia. | 2003-12-03 |
| Lindsay Ryan inquest findings PDF (22.0 KB) | 03 November 2003 | 03 December 2003 | Darwin Magistrates Court | Inquest findings | 2003 | death in custody, death from natural causes | 2003-12-03 |
| Mark Corbett inquest findings PDF (100.2 KB) | 02 June 2003 | 05 September 2003 | Tennant Creek Court House | Inquest findings | 2003 | death in custody, protective custody, detention in Watchhouse, sobering up shelters. | 2003-09-05 |
| Annette Kunia inquest findings PDF (56.7 KB) | 04 November 2002 | 31 July 2003 | Alice Springs Court House | Inquest findings | 2003 | Police Pursuit | 2003-07-31 |
| Queenie Michaels inquest findings PDF (78.2 KB) | 28 July 2003 | 31 July 2003 | Alice Springs Court House | Inquest findings | 2003 | Death in Care - natural causes being pneumonia complicating cytomegalovirus embryopathy | 2003-07-31 |
| Randil Nuparunya inquest findings PDF (48.1 KB) | 28 October 2002 | 20 July 2003 | Darwin Magistrates Court | Inquest findings | 2003 | death in custody, attempted apprehension | 2003-07-20 |
| Lennie Pinawrut inquest findings PDF (41.4 KB) | 26 May 2003 | 17 July 2003 | Darwin Magistrates Court | Inquest findings | 2003 | Medical, Hospital Procedures | 2003-07-17 |
| Unidentified body inquest findings PDF (13.9 KB) | 19 May 2003 | 20 May 2003 | Darwin Magistrates Court | Inquest findings | 2003 | Unidentified | 2003-05-20 |
| Eric Gaykamangu inquest findings PDF (35.9 KB) | 06 August 2002 | 10 April 2003 | Darwin Magistrates Court | Inquest findings | 2003 | death in custody, protective custody | 2003-04-10 |
| Rita Dandy inquest findings PDF (143.4 KB) | 17 June 2002 | 28 March 2003 | Darwin Magistrates Court | Inquest findings | 2003 | Death In Custody, Section 128 – Police Administration Act, Apprehension and release of severely intoxicated persons | 2003-03-28 |
| Robert John Baxter inquest findings PDF (98.1 KB) | 10 February 2003 | 21 March 2003 | Darwin Magistrates Court | Inquest findings | 2003 | Aircraft Accident - Cessna 210 | 2003-03-21 |
| Reba Lakuwanga inquest findings PDF (179.0 KB) | 17 September 2002 | 26 February 2003 | Darwin Magistrates Court | Inquest findings | 2003 | Death in Custody, detention for purposes of protective custody, belief in the commission of crime, duty of care | 2003-02-26 |
| Skeletal Remains inquest findings PDF (129.4 KB) | 17 December 2002 | 17 December 2002 | Darwin Magistrates Court | Inquest findings | 2002 | An inquest into the death of skeletal remains | 2002-12-17 |
| Sylvester Nawirridj inquest findings PDF (83.3 KB) | 24 January 2002 | 27 September 2002 | Darwin Magistrates Court | Inquest findings | 2002 | violent death, suspicious circumstances, report to Commissioner of Police and Director of Public Prosecutions | 2002-09-27 |
| Graham Murrurkuwuy inquest findings PDF (96.1 KB) | 04 March 2002 | 13 August 2002 | Darwin Magistrates Court | Inquest findings | 2002 | death in custody, death from natural causes, medical facilities at the prison | 2002-08-13 |
| Alfred Firth Thorpe inquest findings PDF (52.9 KB) | 22 July 2002 | 06 August 2002 | Darwin Magistrates Court | Inquest findings | 2002 | death in custody, death from natural causes, prerogative of mercy | 2002-08-06 |
| David Pendergast inquest findings PDF (65.1 KB) | 07 May 2002 | 09 May 2002 | Alice Springs Magistrates Court | Inquest findings | 2002 | Coronial Inquest, death in custody, death from natural causes, medical facilities at the prison. | 2002-05-09 |
| Hayley McCurry-Parriman inquest findings PDF (99.5 KB) | 24 April 2002 | 01 May 2002 | Darwin Magistrates Court | Inquest findings | 2002 | Public swimming facility, safety aspects | 2002-05-01 |
| Luke Peter Littlewood inquest findings PDF (124.2 KB) | 05 February 2002 | 12 March 2002 | Darwin Magistrates Court | Inquest findings | 2002 | Mental health, involuntary patient, suicide, PAWA facilities security | 2002-03-12 |
| Johnno Wurramarba inquest findings PDF (373.7 KB) | 18 May 2001 | 19 December 2001 | Darwin Magistrates Court | Inquest findings | 2001 | Death in Custody Don Dale Juvenile Detention Centre | 2001-12-19 |
| Nathan Wade Brooks inquest findings PDF (83.8 KB) | 27 March 2001 | 02 November 2001 | Darwin Magistrates Court | Inquest findings | 2001 | death by electrocution, work place safety | 2001-11-02 |
| Clive Henry Impu inquest findings PDF (194.7 KB) | 03 September 2001 | 19 October 2001 | Alice Springs Court House | Inquest findings | 2001 | , ischaemic heart disease, prevalence in Aboriginal persons, fail to diagnose. | 2001-10-19 |
| Christopher Limerick inquest findings PDF (121.2 KB) | 12 June 2001 | 16 October 2001 | Tennant Creek Court House | Inquest findings | 2001 | Disappearance, Missing Persons Inquiry, death, possible crimes in connection therewith. | 2001-10-16 |
| Bryan G (aka) Abell Dallos inquest findings PDF (178.5 KB) | 05 September 2001 | 15 October 2001 | Alice Springs Court House | Inquest findings | 2001 | Airport Security Mental Health Involuntary Patient Aviation Investigation | 2001-10-15 |
| George Miller inquest findings PDF (158.7 KB) | 07 August 2001 | 12 October 2001 | Katherine Court House | Inquest findings | 2001 | Death In Custody Section 128 – Police Administration Act | 2001-10-12 |
| Skeletal Remains (Cartier Island) inquest findings PDF (67.5 KB) | 10 October 2001 | 10 October 2001 | Darwin Magistrates Court | Inquest findings | 2001 | SKELETAL REMAINS AT CARTIER ISLAND | 2001-10-10 |
| Blake Harvey inquest findings PDF (99.9 KB) | 07 March 2001 | 17 August 2001 | Alice Springs Court House | Inquest findings | 2001 | fire, death caused by burns, fire safety and regulations | 2001-08-17 |
| Corey Leigh McConville inquest findings PDF (73.5 KB) | 17 January 2001 | 23 May 2001 | Darwin Magistrates Court | Inquest findings | 2001 | Transport safety – Fatigue management | 2001-05-23 |
| William Mason inquest findings PDF (74.2 KB) | 23 October 2000 | 04 May 2001 | Darwin Magistrates Court | Inquest findings | 2001 | Discretionary Inquest, reportable death, suspicious circumstances, open finding. | 2001-05-04 |
| Kheng Hav Eng inquest findings PDF (80.6 KB) | 22 March 2001 | 30 March 2001 | Darwin Magistrates Court | Inquest findings | 2001 | Motor Vehicle Accident - accident investigation | 2001-03-30 |
| Sebastian Barry Davis inquest findings PDF (44.9 KB) | 09 March 2001 | 09 March 2001 | Alice Springs Court House | Inquest findings | 2001 | Child in Care | 2001-03-09 |
| Matthew Neck, Amanda Bell and Matthew Batson inquest findings PDF (140.5 KB) | 04 December 2000 | 09 March 2001 | Alice Springs Magistrates Court | Inquest findings | 2001 | motor vehicle rollover | 2001-03-09 |
| Eduardo Concepcion inquest findings PDF (192.0 KB) | 24 August 2000 | 25 January 2001 | Darwin Magistrates Court | Inquest findings | 2001 | Death in custody - police shooting - justifiable homicide - police investigation - police general orders – possible use of non-lethal weapons. | 2001-01-25 |
| Skeletal Remains (x15) inquest findings PDF (129.9 KB) | 21 December 2000 | 21 December 2000 | Darwin Magistrates Court | Inquest findings | 2000 | Unidentified Skeletal Remains | 2000-12-21 |
| Ronald Smallwood inquest findings PDF (45.5 KB) | 13 December 2000 | 13 December 2000 | Alice Springs Magistrates Court | Inquest findings | 2000 | death was natural causes, being a disseminated carcinoma | 2000-12-13 |
| Corey Paddy inquest findings PDF (79.6 KB) | 08 August 2000 | 01 November 2000 | Darwin Magistrates Court | Inquest findings | 2000 | Coroners, Inquest, death in hospital, positional asphyxia, hypoxic brain damage, level of care | 2000-11-01 |
| Marcio Jose Lay Nheu inquest findings PDF (162.1 KB) | 06 June 2000 | 31 October 2000 | Darwin Magistrates Court | Inquest findings | 2000 | Death in Custody, belief as to crime committed, Hospital procedures, liason between Police and Hospital staff. | 2000-10-31 |
| Glen Anthony Huitson and Rodney William Ansell inquest findings PDF (259.4 KB) | 15 September 2000 | 15 September 2000 | Darwin Magistrates Court | Inquest findings | 2000 | gunshot wound of the chest and abdomen, multiple gunshot wounds | 2000-09-15 |
| Anthony Mahoney and Jane Mahoney inquest findings PDF (225.9 KB) | 02 May 2000 | 11 September 2000 | Darwin Magistrates Court | Inquest findings | 2000 | Motor Vehicle Accident – Double Fatality – Accident Investigation | 2000-09-11 |
| Francis Kamaranga inquest findings PDF (92.9 KB) | 24 July 2000 | 06 September 2000 | Darwin Magistrates Court | Inquest findings | 2000 | asphyxiation following severe swelling to the larynx due to anaphylactoid reaction. | 2000-09-06 |
| Robert Hodgkinson inquest findings PDF (97.9 KB) | 13 June 2000 | 14 June 2000 | Katherine Magistrates Court | Inquest findings | 2000 | - death in custody - police pursuit – fire extinguishers | 2000-06-14 |
| Trevor Parkyn inquest findings PDF (83.1 KB) | 22 May 2000 | 01 June 2000 | Darwin Magistrates Court | Inquest findings | 2000 | Coroners – Inquest – Police – Head injuries undetected | 2000-06-01 |
| Baby J inquest findings PDF (73.0 KB) | 10 April 2000 | 10 April 2000 | Darwin Magistrates Court | Inquest findings | 2000 | Coronial Inquest, death of infant, jurisdiction, reportable death, doctor patient relationship, medical practitioner | 2000-04-10 |
| Gary Peter Tipungwuti, Patrick Raymond Kerinauia, Noeline Pauantulura, John Gerard Orsto inquest findings PDF (1.9 MB) | 21 August 1999 | 24 November 1999 | Darwin Magistrates Court | Inquest findings | 1999 | self-inflicted hanging, Nguiu community, Bathurst Island | 1999-11-24 |
| Clinton Leslie Kingsley inquest findings PDF (288.1 KB) | 18 June 1999 | 14 September 1999 | Katherine Court | Inquest findings | 1999 | 1999-09-14 | |
| Esky Muller inquest findings PDF (1.3 MB) | 02 September 1998 | 02 September 1998 | Alice Springs Court House | Inquest findings | 1998 | Loss of blood arising from incised wound to the left arm | 1998-09-02 |
| Azaria Chantel Loren Chamberlain inquest findings PDF (2.8 MB) | 01 January 1995 | 13 December 1995 | Darwin Magistrates Court | Inquest findings | 1995 | taken by dingo, Ayers Rock, tent | 1995-12-13 |
| T. Okano, A. Kabe, T. Linklater and K. Pritchard (Cannonball Run) inquest findings PDF (8.7 MB) | 10 October 1994 | 20 December 1994 | Darwin | Inquest findings | 1994 | Fatal accident, Cannonball Run | 1994-12-20 |
| Ganamu Garrawurra inquest findings PDF (2.2 MB) | 19 June 1990 | 03 June 1991 | Galiwinku | Inquest findings | 1991 | death in custody | 1991-06-03 |
| Patricia Slinn, Lesley Ramsay, David James Send, Adrian Martin Durnin and Helen Fuller inquest findings PDF (791.6 KB) | 26 November 1985 | 26 November 1985 | Alice Springs | Inquest findings | 1985 | 1985-11-26 | |
| Azaria Chantel Loren Chamberlain inquest findings PDF (23.4 KB) | 14 December 1981 | 10 July 1984 | Alice Springs Magistrates Court | Inquest findings | 1984 | taken by dingo, Ayers Rock, tent | 1984-07-10 |
| John Ross Jabanardi inquest findings PDF (2.7 MB) | 11 December 1981 | 11 December 1981 | Alice Springs | Inquest findings | 1981 | Ti Tree, haemorrhage due to perforation of the left internal iliac artery, gunshot wound to the abdomen | 1981-12-11 |
| Azaria Chantel Loren Chamberlain inquest findings PDF (30.8 KB) | 20 February 1981 | 20 February 1981 | Alice Springs Magistrates Court | Inquest findings | 1981 | taken by dingo, Ayers Rock, tent | 1981-02-20 |
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