Coronial, held in care, guardianship order, inquest, person in care, Roy Fagan Centre, atherosclerotic, hypertensive cardiovascular disease. (AMK) Web.pdf (PDF File, 307.3 KB), Kettle, Terrence Michael (AMK) Web.pdf (PDF File, 304.9 KB), Brewer, Ruby and Shanzel (PDF File, 164.5 KB), Golding, Laura Rebecca (PDF File, 127.5 KB), Woolley, Dale Robert (PDF File, 374.2 KB), Spencer, Melissa Mary - web.pdf (PDF File, 122.9 KB), Marshall, Eric Craig (PDF File, 843.8 KB), Besgrove, Trevor Scott (PDF File, 101.7 KB), Espie, James William (PDF File, 100.2 KB), Mansell, Robert Charles (PDF File, 488.0 KB), Nicolle, Paula Elizabeth (PDF File, 111.1 KB), Bond, Johnathon Lee.pdf (PDF File, 122.0 KB), Fish, Winston William - Web version.pdf (PDF File, 112.1 KB), Oliver, Colin Jamie.pdf (PDF File, 124.3 KB), Lockley, Rodney Dennis (PDF File, 107.8 KB), Pears, Phyllis (AMK) signed 11.09.20.pdf (PDF File, 437.3 KB), Murray, Geoffrey Raymond (PDF File, 107.1 KB), Harmon, Trinton John (PDF File, 586.4 KB), Wright, Maria Rebekah (PDF File, 148.8 KB), Wellington, Timothy John (PDF File, 298.7 KB), Maynard, Grant Godfrey (PDF File, 100.7 KB), Howe, Rowland Michael Chilton (PDF File, 118.7 KB), Howard, Noeline Dawn (PDF File, 124.1 KB), Williamson, Colin George (PDF File, 114.5 KB), Delios, Voula 2020 TASCD 458 (PDF File, 541.5 KB), Thompson, Michael Robert (PDF File, 134.3 KB), Lyons, Matthew Clayton - web.pdf (PDF File, 133.8 KB), Thompson, Paul Christopher (PDF File, 544.7 KB), Crowden, Jeffrey Donald (PDF File, 276.7 KB), Stone, Corrie Collean (PDF File, 85.4 KB), Shrimpton, Dallas Brooks (PDF File, 137.5 KB), Konstantinidis, Agis (PDF File, 124.6 KB), Crawford, Jacob Raymond (PDF File, 126.8 KB), Arnold, Derek William (PDF File, 116.8 KB), Dickinson, Mary Marguerite (PDF File, 485.6 KB), Tonner, Justin Michael (PDF File, 104.0 KB), McCarthy, Blake John (PDF File, 109.9 KB), Adams, Christopher Neil (PDF File, 98.7 KB), Griffin, James Geoffrey (PDF File, 101.4 KB), Hunter, Feryne Gaylene (PDF File, 137.7 KB), Dennis, Wayne Phillip (PDF File, 104.9 KB), Cashion, Brett Matthew (PDF File, 293.9 KB), Riley, Shane Patrick (PDF File, 375.3 KB), Tonks, Russell Rodney (PDF File, 100.7 KB), Ferguson, Roy Waldren Trevor (PDF File, 117.5 KB), Jones, Bradley James (PDF File, 124.8 KB), Hayward, Vanessa Claire (PDF File, 113.8 KB), Petterwood, Michael Lewis (PDF File, 115.5 KB), Pears, William Ernest (PDF File, 123.3 KB), Hargraves, Audrey Doreen (PDF File, 113.7 KB), Standaloft, Cora Gwendoline (PDF File, 100.4 KB), Button, Shirley Gwendoline (PDF File, 116.0 KB), Szemes, Kim Leonie Maree (PDF File, 104.5 KB), Shepperd, Stephen Charles (PDF File, 92.5 KB), Wilton, Melissa Joan (PDF File, 135.3 KB), Lawrence, Timothy Michael (PDF File, 137.5 KB), Kiley, Jordan Jackson (PDF File, 89.7 KB), Evans, Conor Maclaren (PDF File, 99.2 KB), Whitney, Margaret Ann (PDF File, 100.6 KB), Procter, Wilfred Pearson (PDF File, 118.3 KB), Combes, Margot Janeece (PDF File, 89.6 KB), Woodward, Ernest Henry (PDF File, 111.9 KB), Arundel-Clarke, Catherine Clara (PDF File, 99.6 KB), Woolley, Zedric Basil (PDF File, 118.2 KB), McInerney, Robert Edward (PDF File, 617.6 KB), Martin, Jack Hedley (PDF File, 374.5 KB), Mason, Alison Henderson (PDF File, 369.9 KB), Maxwell, Benjamin Murray (PDF File, 86.9 KB), Stewart, Keith Thomas (PDF File, 367.0 KB), McKenzie, Heather Patricia Dale (PDF File, 383.5 KB), Powell, Stephen Maxwell (PDF File, 309.1 KB), Roberts, Anna Jane and Stanley, Brett John (PDF File, 378.5 KB), Benneworth, Anthony John (PDF File, 414.5 KB), Long, Anthony Edward (PDF File, 412.9 KB), Frith, Aaron Douglas (PDF File, 363.8 KB), Sulman, Murray Matthew (PDF File, 373.0 KB), Peck, Edward Paisley (PDF File, 825.8 KB), O'Brien, Mark Andrew (PDF File, 369.6 KB), Clark, Darren Stuart (PDF File, 410.5 KB), Smith, Jordan Marcellus (PDF File, 380.9 KB), Bowerman, Graeme Anthony (PDF File, 415.1 KB), Picken, Jason Scott (PDF File, 362.0 KB), Jenkins, Mark Andrew (PDF File, 376.9 KB), Davies, Luke; Drobnjak, Aleksander; Ritter, Magnus; Roche, Anthony (PDF File, 839.6 KB), Stanley, Christopher Stephen (PDF File, 372.6 KB), McLean, Michael William (PDF File, 260.2 KB), Saltmarsh, Aidan Denis (PDF File, 384.2 KB), Jeffrey, Angela Joy (PDF File, 517.6 KB), Mead, Liam - Ruling on Evidence (PDF File, 147.9 KB), Horcicka, Josef Vratislav (PDF File, 488.4 KB), Eaton, Jodi Michelle (PDF File, 460.4 KB), Lukendlay, Charlotte (OM) Findings.pdf (PDF File, 751.2 KB), Nichols, James Raymond (PDF File, 397.8 KB), Russell, Allan Geoffrey (PDF File, 873.4 KB), Porteous, Shayne Edward (PDF File, 490.3 KB), Kranz, Lothar Wolfgang (PDF File, 501.6 KB), Davis, Catherine Joy (PDF File, 484.0 KB), Kenney, Margaret Patricia (PDF File, 510.8 KB), Ham, Roderick David Charles (PDF File, 487.1 KB), Best, Christopher Mark (PDF File, 497.5 KB), Close, Terrence Findings Web.pdf (PDF File, 943.2 KB), Finding Brendan Smith (Web) pdf.pdf (PDF File, 780.6 KB), Burns, Brendan Craig (PDF File, 324.4 KB), Glover, Gerald Samual (PDF File, 125.7 KB), Morris, Jason Simon (PDF File, 122.1 KB), Steshic, John Norman -web .pdf (PDF File, 495.7 KB), Paraskevas, Odissefs (PDF File, 396.0 KB), Nowitzki-Eisenburg, Heike (PDF File, 493.2 KB), Beltz, Sarah Rose -(Web).pdf (PDF File, 469.7 KB), Cowen, Craig -web.pdf (PDF File, 411.8 KB), Skrepetos, Stavroula (PDF File, 478.6 KB), Killer, Debbie Dubravka (PDF File, 411.5 KB), Brown, Tony David .pdf (PDF File, 595.0 KB), Stefaniw, Gerard Ernest (PDF File, 738.2 KB), Dunster, Kenneth Francis (PDF File, 743.5 KB), Roberts, Nigel Douglas (PDF File, 734.5 KB), Westbrook, Eden Jayde (PDF File, 314.2 KB), Richardson, Margaret Rita. Older person, natural cause death, acute myocardial ischaemia, Launceston General Hospital, Emergency Department, triaged patients, assessment and treatment, monitoring of whereabouts, documentation of significant interactions, recommendations. To see the decisions published by the various Divisions of the Magistrates Court use the Magistrates Decisions link. We then focus on specific rollover awareness factors during both our mentoring as well as our refresh programs. The Networks goals include producing national data concerning domestic and family violence related homicides in accordance with the National Plan to Reduce Violence Against Women and their Children 2009-2021. Intentional self-harm, mixed drug toxicity, overdose of prescription medication, criminal sexual misconduct, criminal charges, toxicological analysis, Launceston General Hospital. This includes rapid reversal requirements and perioperative management. 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. coronial, artery dissection, ischaemic heart disease, renal scarring, emphysema, the work of the courts being available to public scrutiny, possible harm from making an investigation publically available, homicides after the criminal process has been completed, any other death which has been reasonably widely reported in the news media for clarification of the factual findings, any death where health and safety recommendations can result in improvements and death prevention (for example, child protection systems issues, deaths in medical settings with recommendations for improvement), any other matter which the coroner believes is in the public interest. Gemma Lake has been appointed Chief Executive Officer of the Department of the Attorney-General and Justice. With the reduced scale of the guard rail installation and favourable rates for the benching and vegetation reduction, the total cost requested from the grantor is $80,086.42, Updated response provided by THS South 14 October 2022. 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. Unreported judgments of the Supreme Court of Tasmania are available on AustLII (Australian Legal Information Institute). The APCA Recreational Driving Guide, available to all Recreational Driver Pass holders, already contained advice to install sand flags under. 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. Inquest Findings 2021 Coroner's inquest findings are available on the date of delivery of the finding or later by request in writing to the Office of the State Coroner. TITLE OF COURT: Coroners Court . abc.net.au/news/kirra-lea-mcloughlin-coronial-inquest-findings/100194632 A coroner has found that a 27-year-old woman, whose death has been unsolved for almost seven years, lost her life at the hands of her de facto partner, describing him as a "habitual perpetrator" of domestic abuse. 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. Transport & Traffic Related, Motor Vehicle Crash, Traumatic Injuries, Crash Investigation, East Tamar Highway, Inattention, Wire Rope Barrier. The page has been produced by Courts Tasmania, Search the Supreme Court of Tasmania database, personal information protection statement. This may require viewing multiple records or images. Domestic incident, falls, older persons, fall from a ladder, home maintenance, recommendations. This includes a combination of in cab assistance, review/follow-up of telematic data and ongoing focus on travel times for higher risk activities. [2021] WACOR 18 Page 2 Coroners Act 1996 (Section 26(1)) AMENDED RECORD OF INVESTIGATION INTO DEATH I, Philip John Urquhart, Coroner, having investigated the death of a female child referred to as Child AM with an inquest held at Perth Coroners Court, Central Law Courts, Court 85, 501 Hay Street, Perth, on 26 - 27 November Surgical Complications, Royal Hobart Hospital, Calvary Hospital. We extend our sympathies to the family of Mr Whitely at this difficult time. All contents copyright Government of Western Australia. Coronial findings are listed in descending date order and can be adjusted by use of the filter on this page. To search for judgments, usethe links below. A Health Practitioner's guide for writing a statement for the Coroner. Coroners Court - ACT Magistrates Court PDF [2021] WACOR 18 - Coroner's Court of Western Australia Inquest, intentional self-harm, asphyxia, hypoxic encephalopathy, mental illness & health, Royal Hobart Hospital Emergency Department, recommendations, government, Psychiatric Emergency Nurses (PENs), mental health services reforms. Transport & traffic related, motorcycle crash, single vehicle crash, high speed, multiple trauma. Whenever possible FamilySearch makes images and indexes available for all users. (PDF, 84.6 KB), Flow Chart of the Coronial Process (PDF, 316.1 KB), When to report a Death to the Coroner (PDF, 189.9 KB), Australian Domestic and Family Violence Death Review Network Data Report 2018 (pdf, 3 MB). The coroner decides whether to hold a public inquest into a death. Coroner's findings due in girl's Perth hospital death These types of deaths are called reportable deaths. The extent of works is over a length of approximately 2.1km of Glenfern Road. Publishing a finding is decided on an individual basis, but the coroner may take into account a number of factors: In general, authorised findings for publication will include: Specific findings can be located by entering information in the search box below. With this work the Network seeks to contribute to the formation of evidence-based policy and decision making in relation to domestic and family violence, enhancing opportunities for prevention and intervention and contributing to the enhanced safety of women and their children across Australia. Transport & traffic related, motor vehicle crash, multiple blunt traumatic injuries, instantaneous death, Kimberley Road, Railton, crash scene investigation. Inquest FindingsInquest Findings 2021. This division is a specialist court that conducts inquests and investigations into certain deaths ('reportable deaths') and incidents (including fires and explosions) regardless of whether a death occurred. If a judgment is not listed in the List of Recent Decisions try clicking on . . Older persons, physical health, Roy Fagan Centre, Guardianship and Administration Order, Public Guardian, care, treatment and supervision, dementia, aspiration pneumonia. The relevant Medical Officer will write the discharge appointment in the DMR as King Island Health Services can access these details. We recognise the Tasmanian Aboriginal people as the continuing custodians of the rich cultural heritage of lutruwita / Tasmania. Coronial, Suicide, Asphyxia, Smoke inhalation, Caravan, Fire, natural cause death, death in custody, Coroners Act 1995, Risdon Prison, dilated cardiomyopathy, emphysema, Correctional Primary Health, natural cause death, death in custody, Coroners Act 1995, Risdon Prison, Royal Hobart Hospital, Whittle Ward, metastatic squamous cell carcinoma of the lung, coronial, hospital, heart disease, ischaemic heart disease, single vessel atherosclerosis, Drowning, intentional self-harm, coroner's finding, coroner's recommendations, Pulmonary thromboembolism, deep vein thrombosis, D-dimer, Wells score, PERC, Coroner's recommendation, Coronial, atherosclerotic, hypertensive, cardiovascular disease, hospital, Launceston General Hospital, obesity, hypertension, complications of health care, missed or incorrect diagnosis, Head injury, cliff fall, hazardous area, Blackmans Bay blowhole, safety, public area, Coroner's recommendations, transport and traffic related, motor vehicle accident, two vehicle crash, Lilydale Road, adverse weather conditions, poor condition of road, excessive speed for conditions, Coronial, Findings, Inquest, Death in care, Royal Hobart Hospital, Fall from standing Position/ Height, Complication of Left Femur Fracture, Coronial, Findings, Meningococcal, immunisation, disease, A, C,Y, W and B Strain, Neisseria meningitides, bacterial sepsis, hospital, drowning, water related, Mersey Bluff, Devonport, youth, Surf Life Saving, coroner's recommendation, surf rescue, swimming, leisure activity, Homicide & assault, murder, stabbing, coroner's finding, restraint order, coronial, drowning, wharf, fall, alcohol, intoxication, water, older persons, abdominal aortic aneurysm (AAA), haemoperitoneum/retroperitoneal haematoma, Royal Hobart Hospital Emergency Department, falls, undetermined cause of death, undetermined circumstances of death, Tasmania Police, incomplete investigation, Tasmania Police Manual, Forensic Services, forensic evidence, coroner's comments. Identifying your sources helps others find the records you used. 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. Coronial findings To access a finding not listed here, please make application (DOC , 61.5 KB) to the Court. They usually seek to find out the identity of the deceased, the cause of death and the circumstances in which it may have occurred. Keep track of your research in a research log. We acknowledge the traditional owners and custodians of the land on which we work and we pay respect to the Elders, past, present and future. We already have a mentoring process for new drivers as well as those undertaking new tasks and, as mentioned above, we plan to use our recently employed Driver Trainer to provide even further coaching and safety feedback to our drivers. Two of three deaths at Copper Mines of Tasmania 'avoidable', coroner This was attempted but unfortunately was not achievable due to presence of shallow rock. The RHH carry out an investigation of the delays to administration of antibiotics on this occasion with a view to implementing steps to avoid their repetition. The THS Adult Anticoagulation statewide guideline includes when and how to reverse anticoagulation. Coroners Court Coronial Findings 2022-2023 Coronial Findings 2019-2021 Coronial Findings 2016-2018 Coronial Findings 2013-2015 Information for families Coronial Practice Handbook Tasmanian Suicide Register Contact the coroner's office Frequently Asked Questions A Health Practitioner's guide for writing a statement for the Coroner. Inquest, work related, forklift rollover, farm, not wearing a seat belt, workplace, Work Health and Safety Act, guilty,Burnie, Law enforcement, mental illness & health, death in custody, secure mental health unit, Wilfred Lopes Centre, inquest, natural cause of death, Transport & traffic related, motor vehicle crash, truck, collision, incorrect side of the road, Black River, Transport & traffic related, motor vehicle crash, Iveco prime mover, Freighter trailer, truck, speed, work related, employment, workplace, request by senior next of kin not to hold inquest pursuant to s26A(2) of the Coroners Act 1995, undetermined cause of death, missing person, suspicious circumstances, Flinders Island, North East River, Salmon Rock, fishing, Joshua Kennedy, Stephanie Riggall. For information on how to find Sentences for the last three months use the Sentences link. De Bruyns Transport continues to utilise the VicRoads Heavy Vehicle Rollover Prevention Program and, specifically, its dynamic load elements as the cornerstone of our induction training for all employees and not just those involved in harvest fish operations. Domestic incident, homicide & assault, weapon, rifle, gunshot wound, murder, Klaus Neubert, estranged husband, Tasmania Police, family law, alcohol and drug related, mixed prescription drug toxicity (codeine, paracetamol, mirtazapine, promethazine, diazepam), accidental overdose, appropriate prescribing regime, stockpiling medication, Drugs & alcohol, intentional self-harm, mental illness & health, transport & traffic related, suicide, carbon monoxide inhalation, asphyxia, Launceston General Hostpial, Royal Hobart Hospital, Emergency Department, Inpatient Withdrawal Unit, Coroner's comments, Inquest, older person, person held in care, Guilford Young Grove, Roy Fagan Centre, emergency guardianship order, mental health, aspiration pneumonia, dementia, Quad bike roll-over, accident, head injury, drugs & alcohol, pillion passenger, dam, coroner's comment. Sand flags are stored for easy access/attachment when field centre vehicles are accessing the tracks. submissions in making my findings. Aurora Australis shines over Perth. Who attends an inquest Coroner and lawyers. Health and Community Services Complaints Commission, 2023 Northern Territory Government of Australia, URL: https://justice.nt.gov.au/attorney-general-and-justice/courts/inquests-findings 2021 | Department of the Attorney-General and Justice Check the List of Recent Decisions. Council Building, Daly River, Angel Blanco-Puerto, Phillip Lindsay, Barry Gaykamangu and Hannu Kononen, Erfinna Patricia Lay and John Weston Quirk, Raymond Curtain, Terrence Westwood, Gerald Thompson, Gregory Westerman, Graham Dearden and Ruth Vincent, Kumanjay Presley, Kunmanara Coulthard and Kunmanara Brumby, Jade Lange-Loades, Rory Lange-Loades and Nathaniel Rose, Glen Anthony Huitson and Rodney William Ansell, Matthew Neck, Amanda Bell and Matthew Batson, Gary Peter Tipungwuti, Patrick Raymond Kerinauia, Noeline Pauantulura, John Gerard Orsto, T. Okano, A. Kabe, T. Linklater and K. Pritchard (Cannonball Run). Motorcycle Crash, Annual St Helens to Strahan Off Road Motorcycle ride, Alcohol, Intentional Self-Harm, Mental Illness, Transport and Traffic Related. 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. Coroners Findings Archives - CAA Key points: Home Inquest files are reports and associated files pertaining to investigations regarding the cause of certain deaths. Findings are published on this website when an inquest was held or a coroner otherwise orders they be published in the public interest. The Coroner has prepared comprehensive and considered findings and they will be given careful . It is appropriate and timely to review the Model, which is an integral part of our policing strategy, said Acting Deputy Commissioner, Donna Adams. Patients should not be discharged from Spencer Clinic on Fridays to travel to King Island on the same day. 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. Safety assessments of driver performance not only occur at the end of probation but are undertaken on an ongoing basis. 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. We often utilise telematic data for this process as well as timesheet reviews, camera evidence and even road user and customer anecdotal feedback. When the cause of death is unknown or seems unnatural, a judicial officer, known as a coroner, is involved to determine certain information. 1 Section 279(1)(c) Criminal Code (WA). Response fromDerwent Valley Council 30 August 2022. Tasmania Police has welcomed Coroner Robert Pearces findings into the death of Nicholas Whiteley at Westbury on 22 November 2010. Works were completed and reported to the grant program on 30 June 2021. Watch the latest news and stream for free on 7plus >>. Coronial, single motor vehicle crash, multiple injuries, Toyota HiLux Utility, paddock, blunt trauma to the head, neck, thorax and arms, skull fractures, brusing of both lungs. 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. Decision of Deputy State Coroner Forbes. 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.
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