Two of three deaths at Copper Mines of Tasmania 'avoidable', coroner finds Two of three deaths at Copper Mines of Tasmania 'avoidable', coroner finds By Loretta Lohberger Posted Thu 17 Jun 2021 at 7:29pm The three deaths at the Copper Mines of Tasmania's site occurred within six weeks of each other. Coronial findings are listed in descending date order and can be adjusted by use of the filter on this page. submissions in making my findings. When the cause of death is unknown or seems unnatural, a judicial officer, known as a coroner, is involved to determine certain information. Mixed Drug toxicity, Mental Health Plan, Schedule 8 substances, Drug Intoxication, Borderline Personality Disorder, Anxiety Disorder. Intentional self-harm, mental illness & health, Royal Hobart Hospital, Clarence and Eastern Districts Adult Community Mental Health Service, Statewide Mental Health Services, Department of Psychiatry Open Unit, suicidal ideation, suicidal crisis, K Block, anti-ligature amenities, intentional self harm, suicide, mental health and illness, mixed prescription drug toxicity, amisulpride, diazepam, mirtazapine, Tasmania Ambulance Service, delay in dispatch of ambulance. We then focus on specific rollover awareness factors during both our mentoring as well as our refresh programs. Inquest Findings 2021 - Coroner's Court of Western Australia Coroner's findings into the death of Nicholas Whiteley They usually seek to find out the identity of the deceased, the cause of death and the circumstances in which it may have occurred. There are also a series of sections totalling approx. 2023 Department of Police, Fire & Emergency Management, Family Violence Counselling Support Service, Research applications and requests (TILES), Special Response and Counter-Terrorism Command, Department of Police, Fire and Emergency Management, Personal Information Protection statement, Coroners findings into the death of Nicholas Whiteley. The Coroner's Office arranges for members of the Australian Federal Police to investigate the circumstances surrounding the death of a person and to provide a report to the Coroner. Apply Clear filters Showing 21-30 of 82 results Inquest into the death of Terence Gray launch Decision of Deputy State Coroner Truscott 2021 | Department of the Attorney-General and Justice The Northern Territory's coroners office investigates unexpected or suspected deaths on behalf of the community. These types of deaths are called reportable deaths. Key points: Restrictions for Viewing Images in FamilySearch Historical Record Collections, https://www.familysearch.org/en/wiki/index.php?title=Australia,_Tasmania,_Coroner%27s_Inquest_Files_-_FamilySearch_Historical_Records&oldid=4946186, FamilySearch Historical Records Scheduled Collections, Tasmania (Australia) FamilySearch Historical Records, FamilySearch Historical Records Image Visibility Notice, This article describes a collection of records, Use the information to find the person in other records, Analyze the entry to see if it provides additional clues to find other records of the person or their family, The person may be recorded with an abbreviated or variant form of their name. This page -- https://www.police.tas.gov.au/news-events/media-releases/coroners-findings-into-the-death-of-nicholas-whiteley/ -- was last published on May 22, 2013 by the Department of Police, Fire and Emergency Management. Transport & traffic related, single motor vehicle collision, car crash, Glenfern, Derwent Valley Council, recommendations. We respectfully acknowledge the Tasmanian Aboriginal people as the traditional owners of the land upon which we work and pay our respect to Elders past and present. Councils Operations Manager, a qualified engineer, was charged with investigating improvements to the road. CORONER SARAH HELEN LINTON, DEPUTY STATE CORONER: HEARD : 14-15 APRIL 2021 DELIVERED : 27 JUNE 2021 FILE NO/S : CORC 202 of 2019 DECEASED : THORSAGER, JORDAN ALEXANDER Catchwords: Nil Legislation: Nil . All proposed sight benching, vegetation reduction and guard rail was successfully achieved as per application submission except for the length of guard rail marked in location below. Inquest, transport & traffic related, work related, Ten Mile Creek Farm, tractor rollover, not wearing a seatbelt, blunt trauma of the head, neck & chest, WorkSafe Tasmania, Riverdale Dairies Pty Ltd, recommendation. Decision of Deputy State Coroner Truscott, Coronial law, cause and manner of death, NSW trains removal of passenger, NSW Police Powers re intoxicated persons, CORONIAL LAW - Mandatory inquest - homicide by known persons since deceased - s.78, Coronial law, cause and manner of death, First Nations Patients, palliative care, death in corrections custody, Justice Health, care and treatment, CORONIAL LAW - s.27 (1) (a) Coroners Act 2009 - death as a result of homicide by a known person - mandatory inquest, CORONIAL LAW - death by hanging of a person in custody - was mental health care of an appropriate standard - should a mandatory notification have been made - access to rope and hanging points - adequacy of health information sharing -, CORONIAL LAW - death by hanging of a person in lawful custody - frequency of medication reviews - reduction of hanging points at Long Bay Correctional Centre, CORONIAL LAW - unidentified human remains, Eastern bank of the MacDonald River, near Wrights Creek Road St Albans NSW, CORONIAL LAW - death in custody, mandatory inquest, cause and manner of death, natural causes, CORONIAL LAW - cause and manner of death, laryngectomy, tracheal stenosis, respiratory rate, respiratory distress, alteration of calling criteria, Clinical Emergency Response System, vital sign observations, CORONIAL LAW - natural causes death of a person in lawful custody - was medical care and treatment appropriate. A finding is the document handed down by a coroner . They usually seek to find out the identity of the deceased, the cause of death and the circumstances in which it may have occurred. Please consider that it may be upsetting to read details about a death in an inquest finding. Older persons, physical health, Roy Fagan Centre, Guardianship and Administration Order, Public Guardian, care, treatment and supervision, dementia, aspiration pneumonia. Handbook for Medical Practioners and Students, Child C (Name Subject to Suppression Order), Child F (Name Subject to Suppression Order), Child B (Name Subject to Suppression Order), Baby E (Name Subject to Suppression Order), Child AM (Name Subject to Suppression Order), Child J (Name Subject to Suppression Order), Child JP (Name Subject to Suppression Order), Drage, Christopher Mervyn and Simpson, Trisjack Preston, Miss T (Name Subject to Suppression Order), Child JM (Name Subject to Suppression Order), Child RM (Name Subject to Suppression Order), Child SJC (Name Subject to Suppression Order), Headland, Zaraiyah-Lily and Andreas Hohaia, 5 Deaths in Casuarina Prison including Mervyn Kenneth Douglas BELL and Bevan Stanley CAMERON and Brian Robert HONEYWOOD and JS (Name Subject to Suppression Order) and Aubrey Anthony Shannon WALLAM, 13 Children and Young Persons in the Kimberley Region, Child KT (Name Subject to Suppression Order), Child L (Name Subject to Suppression Order), Pham, Uock and O'Neill, Justin and Pham, Jacob and Pham, Tuan, Carter, Mason Laurence and Turner, Murray Allan and Fairley, Chad Alan, Fairley, Chad Alan and Carter, Mason Laurence and Turner, Murray Allan, Felton,Gary, chantelle Jane McDougall, Leela McDougall and Antonio Konstantin Popic, McDougall, Chantell Jane and McDougall, Leela and Antonio Konstantin Popic and Gary Felton, Turner, Murray Allan and Carter, Mason Laurence and Fairley, Chad Alan, Beasley (also known as Graeme Leslie Syme), Miller, Keven Herbert Leban (aka Herb Miller), Cuzens, Jessica Rose & Cuzens, Jane Lesley Margaret & Glendinning, Heather, Glendinning, Heather & Cuzens, Jessica Rose & Cuzens, Jane Lesley Margaret, Hassan, Mohammad and Noor, Mohammad and Mr Sabibullah (Sabib Ullah), Noor, Mohammad and Hassan, Mohammad and Mr Sabibullah (Sabib Ullah), TP (a child) (Subject to a Suppression Order), TPL (a child Subject to a Suppression Order), McLean, Steven Walter & Wallam, Shane Henry, Till, Debra Alexandra and Raabe, Craig Allan, James, Robert (aka Philip Kevin Luckie and Robert John Coughlin), Vincent, Ian Bradley and Nelson, Kane Edwin. 3 Section 53(2) Coroners Act 1996 (WA). 9:56pm Feb 24, 2023. Intentional self-harm, mental illness & health, suicidal ideation, weapon, partial contact range gunshot wound of the head, psychiatrist, Department of Psychiatry, Guardianship and Administration Board, Firearms Act 1996. Adverse medical effects, older person, permanent tracheostomy, aspiration, airway obstruction, Hobart District Nursing Service, Ambulance Tasmania, Refusal of Treatment and Transport Policy, Coroner's recommendation. A grant from the Department of State Growth Safer Rural Road Program was secured on 23 March 2021 for: Vegetation reduction, site benching works, installation of guard rails and signage at Glenfern Road. Accidental drug overdose, palliative care, end stage mesothelioma, hydromorphone toxicity, North West Regional Hospital, Emergency Department, Burnie, medical negligence, medical certificate of death, Coroner's comments. Citations help you keep track of places you have searched and sources you have found. Aishwarya Aswath . Transport & traffic related, mental Illness & health, motor vehicle, multiple severe crushing injuries, Davey Street, emergency services, Royal Hobart Hospital, crash investigation. Use the links in the left hand navigation bar to access the decicions of Tasmanian Courts and Tribunals. Gemma was appointed acting Deputy CEO in 2019, Deputy CEO in 2020 and then Acting CEO on Greg Shanahan's retirement in November 2020. news / 26 August 2021. Spencer Clinic will need to liaise with the King Island Heath Services to arrange. coronial, mountain bike, collision, head injury, blunt force, Transport & traffic related, four wheeled all-terrain vehicle, ATV, quad bike, drink driving, alcohol, excessive speed, speeding, Bruny Island, coronial, Wheat Pack, House Fire, Incineration, Flame, Heating, Thermal Mechanism, Hypoxic brain and lung injury, drug toxicity and gas inhalation, suicide, euthanasia, multiple scleorosis, Advance Care Directive, Goals of Care Plan, Launceston General Hospital, Coroner's recommendation. There are six sections, each of approximately 50m long identified for sight benching on the eastern side of the road. Following is report of actions taken by the Derwent Valley Council to reduce risks to motorists on the gravel section of Glenfern Road. Aishwarya Aswath inquest: Coroner's findings delivered in girl's Perth The following articles will help you research your family in Australia. Coroner's findings due in girl's Perth hospital death The decision to make these findings available has been made by the Chief Magistrate, or their delegate, or the coroner presiding over the particular investigation, under Coroners Rules 2006. South Arm Highway, transport and traffic related, single vehicle, misadventure, pedestrian walking on road, struck from behind, multiple traumatic injuries, failure to stop and render assistance, alcohol and drugs, DPP, Department of Public Prosecution, driving with suspended licence, Simone Bridges, intentional self harm, mental illness and health, drowning, Howrah, Mental Health Act 2013, Protective Custody Order, involuntary admission, Royal Hobart Hospital, Tasmanian Health Service, alcohol and drugs, accidental death, intravenous injection of prescription medications, injection of crushed tablets intended for oral ingestion, methadone, quetiapine, diazepam, mirtazapine, cannabis, Tasmanian Opiod Pharmacotherapy Program, Transport & traffic related, motor vehicle accident, car crash, multi-organ failure, North West Regional Hospital, failure to properly diagnose. Derwent Valley Council has identified a number of sections at which sight distance could be improved via vegetation reduction and sight benching / reducing the slope of cut batters. For all conditions of entry, read the COVID 19 (Coronavirus) Measures. An inquest into her death was told there was intense demand on staff, who missed repeated opportunities to identify the seriousness of her condition. If you are unable to locate the findings you are looking for, please contact the Coroners Office. Inquest, bee sting, bee venom, anaphylactic reaction, anaphylaxis, Tasiliquid Gold, bee apiary, beehives, Coroner's recommendations, transport and traffic related, motor vehicle accident, two vehicle accident, Melton Mowbray, Highland Lakes Road, Midlands Highway, prescription medication, tramadol, diazepam, Leisure activity, misadventure, sports related, water related, personal water craft, PWC, Jet Ski, drowning, could not swim, no personal floatation device, PFD, alcohol, no licence, inexperienced, misadventure, fall from height, head injury, adolescent, youth, Penguin Primary School, Royal Hobart Hospital, North West Regional Hospital, Coroner's comment, undetermined cause of death, Penguin, natural causes, motorcycle crash, transport and traffic related, motor vehicle accident, Launceston, unlicenced rider, rider at fault, drugs and alcohol, exceeding speed limit, disobey road rules, exceed alcohol limit, riding unlawfully, Coroner's comment, incompetent rider, ride unsafely, multiple severe trauma, Older persons, acute myocardial ischaemia, coronary atherosclerosis, North West Regional Hospital, MET call, ECG results, Coroner's comment, Falls, older persons, Meadow Mews Plaza, acute subdural haematoma, Launceston General Hospital Emergency Department, no CT scan, Canadian CT scan rule, Drugs & alcohol, transport & traffic related, motor vehicle collision, Bass Highway, methamphetamine, MDMA, mobile phone, alcohol and drugs, illicit drugs, injection of methamphetamine, multiple organ failure, hypoxic encephalopathy due to cardiac arrest, misadventure, Death in Care,Guardianship Order, IVB metastatic adenocarcinoma of the rectum, schizophrenia, transport and traffic, motor vehicle crash, Brooker Highway, blunt traumatic injuries, alcohol and drug related, prescription medication, diazepam, oxazepam, tramadol, olanzapine, cannabis, THC, impaired driving, Royal Hobart Hospital, Whittle Ward, hospital, palliation, Guardianship Order, Guardianship and Administration Board, inquest, Death in care, Roy Fagan, Guardianship Order, aspiration pneumonia complicating advanced multifactorial dementia. Inquest, child & infant death, person held in care, Care and Protection Order, Children, Young Persons and their Families Act 1997, multi-systemic disabilities, hypoxic brain injury secondary to a cardiorespiratory arrest, Inquest, intentional self-harm, law enforcement, mental illness & health, person held in custody, Risdon Prison, HMP Risdon. Motorcycle crash, motorbike, youth, de-identified, transport & traffic related, fence post, avid motocross & enduro competitor, well-maintained & appropriate safety equipment, abdominal trauma, reminder of supervision, Homicide & assault, missing person, murder, failing to report killing, accessory after the fact, hammer, Ian Rosewall, Renae Donald, Robert Broad, imprisonment. Intentional self-harm, mental illness & health, youth, St Helens District High School, asphyxia, police investigation. The relevant Medical Officer will write the discharge appointment in the DMR as King Island Health Services can access these details. Directions Hearing - Those seeking leave to appear. Since the Coroners recommendation a Mental Health Short Stay Unit has been implemented to improve flow for mental health patients out of the ED.With the ED redevelopment, planning is underway to include a secure high acuity area for mental health patients as well as a calming, private area for lower acuity patients where they are able to wait for their assessment separate from non-mental health patients. In some inquests recommendations are made to Ministers and Government and non-government agencies. I Cant Find the Person Im Looking For, What Now? The page has been produced by Courts Tasmania, Search the Supreme Court of Tasmania database, personal information protection statement. The Australian Domestic and Family Violence Death Review Network was established in 2011 as an initiative of state and territory death review processes, and is endorsed by all state and territory Coroners and the Western Australian Ombudsman. Fionica James, Katurah Mamarika, Layla Leering, Robin Riley, Thomas Turpin, Fabian Andrews, Cassandra Martin, Pauline Iris Abbott, Kendrick Oliver and Joy McNamara, Michael Chisholm, Aaliyaha Webb and Julian Chisholm, Kevin Taylor, Lena Yali and Gregory McNamara, Peter Murphy (Suppression order lifted 19.4.17), Peter Murphy (Suppression order in place), Nauiyu Nambiyu Council Chambers, Daly River, Mohammed Ayubi, Muzafar Sefarali, Mohammed Zamen, Awar Nadar and Baquer Husani, Darwin Magistrates Court / Darwin Supreme Court, Robert Plasto-Lehner and David Gurralpa aka Moscow, Darwin Magistrates Court, Bulman (Opening) and Katherine Courts, Darwin Magistrates Court / Alice Springs Magistrates Court, Michael Anthony Hardy and Robert James Roe, Jaron Mamarika, Dwayne Bara, Jaross Amagula and Francene Huddleston, Barbara Malthouse, Nigel Inkamala, Daryl Inkamala, Dion Ngalken, Gordon Murray and Antonia Meneri, Nauiyu Nambiyu Govt. Inquest FindingsInquest Findings 2021. adverse medical effects, failure to diagnose, misdiagnosis, Hobart Private Hospital, carcinomatosis, failure to report death to Coroner, medical, hospital. Inquest, person in care, older person, Bishop Davies Nursing Home, Roy Fagan Centre, aspiration pneumonia, advanced dementia. Home These types of deaths are called reportable deaths. Last updated: 16-Dec-2020 [ back to top ] Work related, Copper Mines of Tasmania, Mount Lyell Mine, Queenstown, chest injuries, fall from height, asphyxia, mud rush, temporary work platforms, fall arrest equipment, WorkSafe Tasmania, hazard management, Coroners comments & recommendations. You are directed to the disclaimer and copyright notice and a Personal Information Protection statement governing the information provided. To see the decisions published by the various Divisions of the Magistrates Court use the Magistrates Decisions link. Coronial findings To access a finding not listed here, please make application (DOC , 61.5 KB) to the Court. Long Term Missing Person, D'Entrecasteaux Channel, Probable Drowning, Water Related, Coroner's, Coronial, Motor vehicle Crash, Blunt Traumas Injury to the head, lost control, seat belt, Adverse Medical Effects, Acute Gastrointestinal, Hobart Private Hospital, Royal Hobart Hospital, Child & Infant Death, Falls, Geographic, Leisure Activity, Conservation Area. A Health Practitioner's guide for writing a statement for the Coroner. Transport & traffic related, older persons, physical health, car accident, environmental heat & cold exposure, dehydration, missing person, Tullah, Transport & traffic related, motor vehicle crash, car accident, speed, alcohol, illicit drugs, criminal prosecution, causing death by dangerous driving, Huonville. 1 Section 279(1)(c) Criminal Code (WA). traumatic brain injury, homicide, Mitchell Clay Dowling, Jay David Blazely, one punch death, assault, death in care, order under the Guardianship and Administration Act 1995, Guardianship and Administration Board, intentional self harm, mental illness and health, Roy Fagan Centre, death in care, Mental Health Act 2013, mental health order, Millbrook Rise Centre, asphyxia, choking on food, supervision of meals, transport and traffic related, motor vehicle accident, two vehicle crash, Lebrina, death in care, Mental Health Act 2013, mixed prescription drug sedation, clozapine, olanzapine, Spencer Clinic, Burnie, North West Regional Hospital, Karingal Nursing Home, mental illness and health, coroner's recommendations. Unreported judgments of the Supreme Court of Tasmania are available on AustLII (Australian Legal Information Institute).