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Findings

Magistrates Court - Coroners Court

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2009
2008
2007
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2005
2004

2009
Name/event			Findings delivered	Coroner
		Cullen, Matthew Raymond	5/11/2009	Barnes
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Police pursuits, extended intercepts.
		Ash, Peter Edward and Ash, Nicole Florence	3/11/2009	Barnes
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Police pursuits, obligation to abandon attempted intercept
		Hopkinson, Joshua Leslie	19/10/2009	Risson
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Supervision of apprentice, refurbishment of cylinder from a drill rig, hazards of uncontrolled release of stored energy in equipment used in coal mining activities, division of authority between Coal Mining Safety and Health Act 1999 and Workplace Health and Safety Act 1995.
		Anderson, Andrew Scott	16/10/2009	Clements
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Death in care of 14 year old, Child Safety (Communities), self inflicted gun shot, consideration of options for placement of child, limited availability of foster parent families, suitability of relative carer, excessive case load pressure, absence of supervision by carer and case worker, insufficient response when child missing, illicit drug and chroming use, attempted self harm, failure to transfer case.
		McBride, Edward Alexander	15/10/2009	Lock
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Electrocution, Australian Defence Force and Church of Scientology.
		Kerkvliet, Kristen	8/10/2009	Baldwin
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Death of a child, Kawasaki’s Disease, care in hospital.
		Hildebrandt, Talisha	7/10/2009	Smid
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Death of a baby, meconium aspiration, appropriateness of medical care, policies and procedures.
		Irwin, Brett Andrew and Semyraha, Craig Anthony	6/10/2009	Barnes
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Shooting of a police officer, suicide of offender, threat assessment, coordination of special emergency services
		Streader, Leon	1/10/2009	Clements
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Death in care, level 3 accredited accommodation, extreme heat conditions, medication and underlying health all possibly contributing to death, medical record keeping, treating doctor with financial interest in premises issuing cause of death certificate
		Hadlow, Barry Gordon	29/09/2009	Barnes
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Death in custody, adequacy of health care.
		Zaza, Jean-Marie Jeremie Yannick	21/09/2009	Fingleton
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Infant drowning; pool safety and inspections; “Homestay” residential arrangements; residential tenancies and pool safety; review of swimming pool safety to Queensland Government
		Leach, Irene Clare	15/09/2009	Black
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Waterlifts, standards, installation, safety audits, registration with workplace health and safety authorities
		Helicopter crash near Gunpowder	14/09/2009	Barnes
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Inquest, helicopter accident, Chief Pilots supervision of Line Pilots, CASA’s acceptance and audit of AOC holders operations manuals.
		Blee, Jason George Elliott	10/09/2009	Hennessy
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Undergound Coal Mining – crushing of worker between shuttle car and rib (wall) of heading in bord and pillar panel; Notification to next-of-kin; No go zones; Shuttle car operation and design; Autopsies in industrial accidents
		Oram, Ronald Thomas	21/08/2009	Barnes
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Death in custody, natural causes, initial medical assessment, response to prison health complaint, emergency access to cells
		McLennan, Lee-Anne Gai	17/07/2009	Hennessy
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Identification of the involvement of a third vehicle in motor vehicle incident; Young driver; Texting while driving; Following too close.
		Hanrick, Caitlyn	17/07/2009	Barnes
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Police pursuits
		Duggan, David John	13/08/2009	Fingleton
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Death in Hospital; possible toxicity from medication; possible "access block"
		Coleman, Randall John	10/07/2009	Clements
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Death in custody, Strychnine poisoning
		Stanford, Tony John	3/07/2009	Clements
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Death in custody, hanging.
		Kingston, Vanessa Louise	24/06/2009	Cornack
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Motor vehicle accident, whether condition of road contributed to accident
		Emerson, Jarrod Barton	19/06/2009	McLaughlin
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Motor vehicle accident, pedestrian struck while walking on roadway at night, off duty police officer driving private vehicle, compellability of witness at inquest discussed, discussion of police investigating police.
		Hatch, Clay	19/06/2009	Clements
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Police shooting, mental health issues.
		Nielsen, Shane Robert	19/06/2009	Lock
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Gunshot wound to head, adequacy of Police investigation.
		Downing, Cheyenne Ruby	1/06/2009	Black
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Swimming pool drowning of a child. Recommendations concerning legislation with respect to construction and inspection of pool fencing.
		Woo, June	1/06/2009	Barnes
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Inquest, Palliative care for terminally ill patients, consent to with holding life sustaining measures, Guardianship and Administration Act 2000
		Brasher, Gryphyn David	14/05/2009	MacCallum
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Inquest - Motor vehicle accident, failure of mechanical actuator, hand brake, steep driveway.
		Maczkowiack, Peter James and Mackowiack, Pauline Anne	14/05/2009	Hennessy
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Inquest epilepsy and commercial truck driver licensing.
		Tilse, Therese Josephine	13/05/2009	Mack
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Death at Townsville Hospital, excessive paracetamol ingestion, fall from bed
		Hoy, Raleigh	5/05/2009	MacCallum
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Inquest – the management of Tarampa After Care Centre, the accreditation of level three facilities, the medical treatment of the deceased, and the link between Clozapine (Clozaril) and cardiomyopathy.
		Brown, Sarah Christine and Parr, Darren Mark	1/05/2009	Hennessy
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Inquest – Motor vehicle accident, identification of driver
		Kay, Brendan Scott	21/04/2009	Tonkin
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Infant death, sub-glottic stenosis, extreme prematurity, chronic lung disease, SIDS, prolonged intubation, inter-hospital communication and discharge procedures, baby capsule.
		Moore, Paul James	22/04/2009	Barnes
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Police pursuits
		Broe, Stephen James	24/04/2009	Barnes
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Inquest, deep technical recreation diving, decompression illness, investigation of diving deaths.
		Madeo, Niceta Maria	26/03/2009	Barnes
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Inquest - Police pursuits
		Glasgow, Benjamin	20/03/2009	Lock
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Inquest - Death of a Child following child birth, brow presentation, head injuries
		Woolgar, Shealah Ann	20/03/2009	Lock
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Inquest - unexpected outcome of medical procedure, Mitral valve heart surgery, perforation of heart during surgery, Blake's tubing
		Wright, Liam John and Powell, Charles Michael	20/03/2009	Lock
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Inquest - Suicide by train over-run, Metal Health Services at Logan Hospital, adequacy of care and of decision making
		Blake, Melissa Maree	16/03/2009	Callaghan
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Inquest – suicide, drowning, Mental Health Service, whether treatment appropriate
		Bauer, Maurice Henry	5/03/2009	Fingleton
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Inquest – Electrocution; contractor working live at time of death; wiring rules in electricity industry; training in wiring; need for safety alerts; investigation processes for inquests when death in the workplace.
		Cusack, Barry John Charles	27/02/2009	Luxton
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Inquest mining accident, training issues, workplace health and safety management
		Malu Sara	12/02/2009	Barnes
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Inquest, DIAC procurement procedures, AMSA survey regime, MSQ boat builder accreditation regime, QPS and ATSB investigation methods.
		Lee-Chue, Allan Duncan	10/02/2009	Barnes
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Inquest, death in custody, natural causes.
		Clarke, Jon Edward Norman	9/02/2009	Taylor
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Inquest – chronic schizophrenia-paranoid type, heatstroke, effects of Clozapine
		Zulpo, Kate Leanne	9/02/2009	Taylor
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Inquest - Motor Vehicle Accident, condition of roadway
		Scholl, Philip Henry	27/01/2009	Braes
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Inquest microlight aircraft accident, pilot training, Civil Aviation Safety Authority oversight of aviation, interaction between Civil Aviation Safety Authority and Australian Transport Safety Bureau.
		Reid, Kylie Maree	8/01/2009	Springer
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Inquest - Hanging, suicide.

2008
Name/event			Findings delivered	Coroner
		Trcka, Peter Joseph	24/12/2008	Brassington
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Inquest - Trawler, EPIRBS, personal floatation devices.
		Venturato, John Ernest	22/12/2008	Brassington
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Inquest, wide load, oversize load, collision
		Plint, Hannah Isabella Alyson	22/12/2008	Ryan
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Child drowning
		Steggall, Rhonda Joy	17/12/2008	Hennessy
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		single vehicle accident, condition of road surface, recent roadworks, lack of signage
		Van Putten, Patricia	15/12/2008	McGinness
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Inquest, suicide, mental health patient.
		Harris, Robert	15/12/2008	McGinness
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Suicide, mental health patient.
		Shepherd, Craig Robert	12/12/2008	Barnes
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Inquest: Coroners, police pursuits.
		Fenner, Christine Maria	11/12/2008	Batts
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Inquest – missing person
		Sturgess, Jane Rose	10/12/2008	Cornack
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Inquest - driver fatigue.
		McVey, Oliver Steven	28/11/2008	Clements
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Inquest premature second twin, patent ductus arteriosus, carbon dioxide build up when ventilated, appropriate ventilation modes and machine, problems with re-intubation.
		Tynan, Kristina Ann	27/11/2008	Barnes
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Police pursuits.
		Wills, Ian Charles	26/11/2008	Rinaudo
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Motor vehicle truck rollover, state of brakes, state of road.
		Howe, Paul Gerrard	26/11/2008	Killeen
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Truck ccident, steep descent, driver inexperience.
		Willowbank aircraft accident	24/11/2008	Barnes
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Inquest, aircraft accident, parachuting operations, oversight of tandem parachuting by CASA and the APF
		Deceased prisoner	5/11/2008	Barnes
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Death in custody, natural causes.
		Boyd, Melanie Kate	5/11/2008	Smith
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Death by drug toxicity, teenagers, youth party, consuming illicit and prescription drugs, excessive alcohol consumption, unsupervised, failure to call emergency services.
		Duncan, Joseph Douglas	24/10/2008	Barnes
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Police pursuits
		Maxfield, Annette	10/10/2008	Barnes
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Exsanguinations following colorectal surgery, serious surgery in remote locations.
		McKenzie, Jillian Peta	3/10/2008	Comans
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Presentation at Level One hospital with chest pains, compliance with hospital policies, staffing of Level One hospitals by junior doctors.
		Beaumont, Steven David	29/09/2008	Barnes
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Death in custody, provision of emergency care to the mentally ill.
		Warren, Michael	25/09/2008	Clements
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Motor Neurone Disease, fire safety, smoking in a health facility with an impairment.
		12 year old boy at Kowanyama	19/09/2008	Barnes
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Department of Families, remote Indigenous community, child suicide.
		Bertram, Amanda Renee	12/09/2008	Lock
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Mixed drug toxicity death of 28 year old female.
		Doheny, Dominic Raphael	12/09/2008	Lock
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Mixed drug toxicity death of 36 year old man prescribed MS Contin. Recommendation regarding warning labels.
		Neville, Elise Susannah	12/09/2008	Lock
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Head injuries, Bunk beds, doctors working hours, emergency department care in regional hospital, emergency retrieval, open disclosure of adverse health events.
		Maslen, Samantha Anne	28/08/2008	Barnes
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Police pursuits and tyre deflation devices.
		Benson, Leim Matthew	25/08/2008	Lock
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Hanging death of 33 year old male.
		Greaves, Colin Arthur	18/08/2008	Hennessy
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Work related accident, fall from height, hydroblasting, Workplace Health and Safety, fatigue management systems, review of risk assessment procedures, Safe Hours of Work and Fatigue Management policies, competency based training.
		Batten, Derek , Tunstead , Peter and Tunstead, James	8/08/2008	Barnes
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Inquest into the deaths of Derek Batten, Peter Tunstead and James Tunstead who went missing off the vessel Kaz II. Missing persons, lost at sea, search and rescue.
		Shelley, Chloe Louise	17/07/2008	Lock
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Death resulting from injuries sustained as a passenger in a motor vehicle accident on Bryan Jordan Drive, Gladstone. Vehicle lost control after travelling over undulations on road and hit light pole.
		Watson, Christina Mae	20/06/2008	Glasgow
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Inquest into the death of Christina Mae Watson who died whilst diving on the historic Shipwreck "Yongala".
		Bock, Kristian	17/06/2008	Brassington
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Death at Nerada near Innisfail on 29 October 2002, German National, Motor Vehicle Incident, Campervan and a Prime Mover towing a B Double Trailer.
		Maggable, Kenneth	17/06/2008	Black
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Death at Trinity Beach on 9 August 2005, Acute coronary occlusion, Extensive coronary atherosclerosis, Visited General Practitioner and Cairns Base Hospital.
		O’Connell, Martin John	6/06/2008	Lock
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Inquest, electrocution, safety switch (residual current device)
		Irwin, Ross Frederick	6/06/2008	Barnes
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Inquest into the suspected death - trawler fishing, adoption of the NSCV and other safety initiatives, MSQ investigation of marine incidents.
		Rouse, Christine Chloe	26/05/2008	Luxton
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Death at Cloncurry Hospital on 12 March 2005, where a child drowned in a public pool.
		Mosby, Phillemon Edward	23/05/2008	Barnes
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Inquest into the suspected death of Phillemon Edward MOSBY.  Vessel Pilot Transfer. MSQ monitoring of pilot vessels, AMSA stipulating pilotage standards.
		Mountford-Smith, Trevor Bertram	19/05/2008	Taylor, CJ
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Missing person, last seen at motel, Caloundra assumed drowned.
		Gallaher, Sebastian Luke Paul	15/05/2008	Parker
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Death at Gympie on 11 April 2006, where a child died of natural causes, subarachnoid haemorrhage, ruptured berry aneurysm.
		Blinco, Ricky Glenn and Last, Michael Wayne	2/05/2008	Barnes
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Inquest into the deaths of Michael Wayne LAST and Ricky Glenn BLINCO. Black Duck Valley, recreational off road motorcycling and four wheel driving, local authorities approval of four wheel driving parks, Workplace Health and Safety investigation of incidents in four wheel driving parks.
		Brown, Robert Lee	1/05/2008	McLaughlin
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Death at Collingwood on 25th of December 2006, motorcycle, multiple injuries, motor vehicle incident.
		Schibrowski, John Malcolm	24/04/2008	Hennessy
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Motor vehicle accident, Traffic accident investigation squad TAIS investigation, identity of driver
		Bond, Jakai Ryan	10/04/2008	Barnes
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Inquest, sudden death of an infant, co sleeping, asphyxia, head injuries.
		Fitzgerald, Anthony Michael	28/03/2008	McLaughlin
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Death at Esk on 4 April 2004, Aircraft crash, gyroplane.
		Waite, Thomas Dion; Huynh, Mieng; Jacobs, James Henry; Gear, James Michael	17/03/2008	Barnes
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Inquest, police shooting, mental health assessments, involuntary treatment criteria, post prison release mental health, prescription drug screening, dissemination of information to mental health information to police officers, critical incident command training.
		Zwahlen, Bernhard	27/02/2008	Tonkin
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Inquest, Hang glider (Airborne C2), static ground tow, failure to release tow line, absence of hook knife, modified tow equipment.
		Jones, David Colin	11/02/2008	Killeen
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Death at Glasshouse Mountains on 10 June 2007, motor vehicle incident.
		Hauff-Green, Edward Thomas	31/01/2008	Lock
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Inquest, mental health, emergency sedation.
		Young, Janet	23/01/2008	Lock
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Inquest, truck rollover, load restraint and centre of mass.
		Schmidt, Shirley	17/01/2008	Barnes
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Missing person, re-opening of inquest.
		Wigg, Allan Thomas	16/01/2008	Brassington
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Banana bagging machine machinery incident at Wangan on 3 December 2004

2007
Name/event			Findings delivered	Coroner
		Hall, Jordan James	20/12/2007	Halliday
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Death at Redcliffe Hospital on 16 August 1997. Child Death, Head and abdominal injuries, Repeated blunt trauma.
		Newman, Patricia Dell	20/12/2007	Springer
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Death at Rockhampton Hospital on 29 March 2006, who died of congestive cardiac failure, essential hypertension.
		Whittington, Frank Maurice	12/12/2007	Tonkin
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Death occurred following surgery to replace the catheter delivering intrathecal morphine to provide analgesia via Medtronics SynchroMed EL Implantable pump 8627L-18.  The post-operative priming bolus dose was miscalculated, delivering a small overdose in a patient with a high level of tolerance to morphine.  Patient died of coronary atherosclerosis.
		Burgen, Deborah Denise	7/12/2007	Barnes
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Mt Isa Hospital, post operative internal bleeding, compliance with hospital policies, triaging of ED patients, tele medicine, referral to medical board.
		Mills, Samuel John	29/11/2007	Barnes
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Death in custody, correctional centre, suicide, hanging points, funding of prison mental health services.
		Gillies, Bradley James	23/11/2007	Kehoe
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Death at Southport on 1 May 2004, Motor vehicle incident, concrete truck roll over, telegraph pole.
		Bodell, Margaret Florance Anne	23/11/2007	Clements
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Chronic abstructive airways disorder, fitness for endoscopy, duodenal ulcer, end of life decision making, autopsy after exhumation, reportable deaths, duties under Coroners Act 2003, carbon dioxide retainers.
		Scholz, Karl David	23/11/2007	Clements
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Background of underlying dental disease, immediate need of teeth extraction, swelling of throat, transfer to hospital due to risk of airway obstruction, insertion of surgical drains, endotracheal tube, timing of extubation, decline on ward, query upper or lower respiratory problem, respiratory arrest.
		Walker, Nola Jean	23/11/2007	Barnes
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Death in custody, motor vehicle accident, QAS assessment of patients, QPS monitoring of prisoners.
		Hanley, Timothy Michael	22/11/2007	Hennessy
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Poisoning, Herbal Ecstasy, Internet Ordering at Rockhampton on 30/01/06
		Huber, Arisa	6/11/2007	Clements
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Sudden unexpected death of infant, in hospital, in bed with mother for breastfeeding, accidental suffocation, severe hypoxic episode.
		Cvitic, Nardia Annett	29/10/2007	Clements
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Medical procedure, complications.
		Murray, Kelvin Charles	16/10/2007	MacCallum
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Possible Suicide, Overdose at Goodna on 03/09/04
		Zupp, Jason John	12/10/2007	Toowoomba
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Traffic Incident, Long Distance Truck Driver, Interstate, Driving Hours, Driving Fatigue at Taroom on 10/12/05
		Fogarty, Kevin Edward	1/10/2007	Barnes
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Melioidosis, community acquired pneumonia, work place exposure to tropical diseases, clinical support for rural and remote medical practitioners.
		Effer, Anthony John	27/09/2007	Smith
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Single Vehicle Traffic Incident, Pillion Passenger on a Motorcycle at Maryborough on 27/07/04
		Crowston, Amanda Terese Francis	26/09/2007	Mack
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Death at Pimlico on 7 November 2005, Aspiration of gastric content, drug abuse.
		Waugh, Cappur William Embling	14/09/2007	Rinaudo
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Motor vehicle accident, single vehicle roll-over, inadvertence, inattention, calculation of speed of vehicle.
		Babington, Lynette	13/09/2007	Cornack
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Death in residence at Oakey on 05/08/2006 due to a pulmonary embolism.
		Henderson, Robert Joseph	3/09/2007	Clements
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Mental Health, death in care, involuntary treatment order in the community, monitoring, drug abuse, risk of non compliance with medication.
		Noffke, Veronica Margaret	29/08/2007	Webber
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Death at Logan Hospital on 10/05/2005 due to coronary atherosclerosis with anti-coagulant therapy.
		Case, Matthew Colin	24/08/2007	McLaughlin
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Child, Drowning, Public Pool at Goodna on 24/09/05
		Fitter, Maureen	24/08/2007	Lock
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Hospital/health procedures death, Cardiac Tamponade, Peripherally inserted Central Catheter.
		Lockhart River aircraft crash	17/08/2007	Barnes
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Aircraft accident, pilot training, Civil Aviation Safety Authority oversight of aviation, crew resource management training, interaction between Civil Aviation Safety Authority & Australian Transport Safety Bureau.
		Mental Health patient	17/08/2007	Clements
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Mental Health, assessment of suicide risk, communication with family and hospital staff regarding risk, search of patient's property for dangerous items, hanging points.
		Stiller-Smith, Felix Jake	10/08/2007	Clements
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Infant death, undertermined cause, presence of amphetamines in breast milk, contact with the Department of Families.
		Tang, Shannon Sheng Wen	10/08/2007	Clements
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Medical procedure, gastric bypass, informed consent regarding mortality, complications.
		Duckett, Alan Bernie-Johnson, Bruce William-Hughes, Allen John-Thompson, Katharine Anne	9/08/2007	Barnes
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Aircraft crash, CASA staff training, automatic recording of engine parameters.
		Howell, Thomas John	3/08/2007	Callaghan
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Run over by a school bus at Gympie.
		Bessell, Michael Ian Charlesworth	20/07/2007	Hennessy
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Was the rider of a motorcycle involved in a two vehicle traffic incident at Burnett Highway near Mount Morgan on 20/07/07.
		Aldred, Belinda Jayne	13/07/2007	Braes
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Hanging at Mareeba.
		Liddell, Matthew John	20/06/2007	Clements
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Hanging death of young man receiving psychiatric care in hospital, procedure for observation of patients, procedure for assessment of suicide risk.
		Eady, Graeme William Julian	20/06/2007	Clements
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Plastic bag asphyxiation of young man receiving psychiatric care in hospital under involuntary treatment order, procedure for intermittent visual observations of patients.
		Huntington, Sparka Isarva aka Huntington, James Philip	1/06/2007	Barnes
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Restraint of mental health patients.
		Skardoon, Dorothy Rae	25/05/2007	Lock
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Death following fall; recent eye procedure
		Mental Health patient	25/05/2007	Clements
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Involuntary treatment orders, assessmentof suicide risk, procedures for intermittent observation orders.
		Davis, Jodie Maree	16/05/2007	Tonkin
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Death in custody, Townsville Correctional Centre.
		Horsington, Margaret Isabel	4/05/2007	Rinaudo
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Bowel obstruction, Fleet, diagnosis and treatment. inquest within the medical system at the Roma Hospital.
		Lang, Michael Charles	1/05/2007	Brassington
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Operating a backhoe when demolishing a pedestrian bridge at Broadbeach on 10 December 2003.
		Thorpe, Geoffrey	18/04/2007	Guthridge
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		First aid training and equipment on an industrial site.
		Smith, Arthur Lawrence	5/04/2007	Lock
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Hospital/health procedures, death.
		Pittaway, Steven John and Coe, Paul Allen	30/03/2007	Barnes
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Watch house, inspection of prisoners, searching of prisoners, risk assessment of prisoners, elimination of hanging points.
		Dee, Fiona Jane	23/03/2007	Clements
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Elective Caesarean, spinal anaesthesia, cerebrospinal fluid leak, subdural haematoma, query epilipsy, query cardiac event, Tegretol, hyponatremia, epidural patch, postural headaches.
		Davis, Shane William	21/03/2007	Hennessy
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		An industrial death at the Foxleigh Mine near Middlemount.
		Gabiola, Peter	19/03/2007	Hillan
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Death at Cluden on 23 July 2003, Workplace Incident, Purification Plant, Tractor.
		Turnbull, John	13/03/2007	Clements
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Work related accident, workplace health and safety, driveway construction, plant, vibrating rollers.
		Browne, Roger Bruce	6/03/2007	Hennessy
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Industrial incident at Dawson Mine near Moura in Central Queensland.
		Lather, David Andrew	1/03/2007	Previtera
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Aspriation of gastric contents due to, or as a consequence of drug toxicity following the ingestion by Andrew of a large quantity of varied medication.
		McGeary, Corey Allan	1/03/2007	Barnes
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Death in custody, suicide, hanging points.
		James, Joseph Edwin	23/02/2007	Barnes
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Death in custody, natural causes.
		Russell, Andrew John and Harogh, Bianca Joan	21/02/2007	McIntyre
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Motor vehicle accident, high speed, seriously defective vehicle, street racing, poor judgment.
		Eddy, Michael John	12/02/2007	Barnes
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Death in custody, positional asphyxia, amphetamine use, autopsy reports, registration of causes of death.
		Marshall, Maxwell John	19/01/2007	Barnes
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Control of prescription medication, the role of the Drug of Dependence Unity, autopsies by government medical officers.
		Tyssen, Mario Emmy	19/01/2007	Barnes
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Death in custody, health care of prisoners.
		Carroll, Leon Mark	19/01/2007	Barnes
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Cause of Death-suicide, hanging points.
		Fitzgerald, Darren Michael	19/01/2007	Barnes
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Death in custody, availability of opioid diversion and needle exchange programs in prisons, augmentation of intelligence responses at Woodford Correctional Centre, drugs in correctional facilities.
		McDonald, Kerry-Ann	10/01/2007	Kennedy
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Multiple injuries as a consequence of motor vehicle trauma, Kawasaki loader.
		West, Ian Leslie	10/01/2007	Kennedy
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Bronchopneumonia following a severe head injury.

2006
Name/event			Findings delivered	Coroner
		Conlan, Kathleen Anne	19/12/2006	Batts
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Death at Gold Coast hospital on 28/11/2003 where no formal cause of death could be ascertained.
		Day, Mark Walter	19/12/2006	Barnes
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Death in custody, murder, supervision of dangerous prisoners.
		Boyce, Amanda Helen	18/12/2006	Rinaudo
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Death in spa, Reynolds equation, laminae flow, turbulent flow, hair entrapment, tangling and knotting.
		Barlow, Charles Edward; Lusk, Patrick Douglas; Baggott, Emily Jane	15/12/2006	Previtera
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Suicide by mental health patients.
		Jones, Katherine Alison	14/12/2006	Killeen
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Death at Nambour Plaza Shopping Centre, Nambour on 10 December 2005 whilst carrying out her employment duties at the Centre, a large galvanized steel gate fell on the deceased.
		Czislowski, Kenneth Douglas	8/12/2006	Costello
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Gyrocopters, failure of mechanical hub bar, aerial work other than recreational flight, cattle mustering.
		Tierney, Beverley Ann	27/11/2006	Rinaudo
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Drowning, wet drowning, dry drowning.
		Petrelis, Andrew Nicholas	24/11/2006	Halliday
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Opiate toxicity.
		Hogan, Kevin James and Hogan, Winifred Therese	15/11/2006	Hennessy
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Motor vehicle accident, signage, intersection safety, speed limits.
		Jeffrey, Helen	13/11/2006	Taylor
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Suicide by mental health patients.
		Ali-Haapala, Anita	31/10/2006	Buckley
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Risk management of patients in mental health facilities.
		Blockley, Michael Gary; Watson, Stevie Lee; Teske, Neil Lackland; Donaldson, Michael Bruce; and Nugent, Christopher John	26/10/2006	McIntyre
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Deaths at Linthorpe on 7 April 2006 and 11 April 2006 at Princess Alexandra Hospital, Motor vehicle incident, very high speed.
		Mathers, John William	12/10/2006	Cornack
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Motor vehicle accident, surgical error, failure to correctly operate blood infuser, training issues.
		Mulrunji	27/09/2006	Clements
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Death in custody.  Recommendation concerning arrest and policing, assessment and monitoring of health upon arrest, supervision and care in custody, investigation into deaths in police custody, diversionary centres and community patrols.
		Rawson, Robert Donald	13/09/2006	Hennessy
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Availability of quality medical equipment in regional hospitals.
		Robinson, Terence James	8/09/2006	Barnes
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Status epilepticus, monitoring of psychiatric patients, emergency sedation, transfer to primary hospitals.
		Hamilton Island aircraft crash	7/09/2006	Barnes
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Aircraft accident, fuel selector warning, chief pilot's duties, securing of evidence.
		Grimley, Scott Robert	1/09/2006	Halliday
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Electrocution at work.
		Vernon, Colin John	24/08/2006	Callaghan
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Death at North of Gympie on 7 May 2005, Motor vehicle incident.
		Shaw, Lillian Margaret	11/08/2006	McLaughlin
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Perforated ulcer and morphine toxicity.  Recommendations concerning the recording of morphine administered; the supervision of provisionally registered foreign trained doctors and the publication of the provisional registration.
		Casey, Lenard John	10/08/2006	Barnes
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Death in custody, natural causes.
		Bee, Calvin Wayne	9/08/2006	Barnes
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Death in custody, riders concerning incarceration of alcoholic persons, sudden unexplained death in epilepsy.
		Vidler-Cumming, Liam Richard	28/07/2006	Barnes
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Shaken baby syndrome.
		Zimitat, Vivian Bexley	28/07/2006	Hennessy
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Regional neurology services availability; maintenance of appropriate records regarding regional and remote medical contact with specialty units in tertiary hospitals.
		Hooymans, Kylie Danielle	7/07/2006	Taylor
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Death at Tewantin on 13 March 2005, Hanging, Mental Health.
		Palace Backpackers Hostel Fire	7/07/2006	Barnes
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Arson in budget accommodation, fire safety reforms, Childers.
		Ioane, Andrew Penetito	30/06/2006	Barnes
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Death in custody, police pursuit, recommendations regarding police training.
		Williams, Stuart Ronald	27/06/2006	Barnes
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Death in custody, correctional centre, natural causes.
		Hedges, John Walter	15/06/2006	Barnes
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Accidental overdose, medical negligence, systemic failings in a clinical setting
		Hewson, Jamie	8/06/2006	Barnes
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Death in custody, police shooting.
		Bell, Malcolm Robert	26/05/2006	Barnes
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Police shooting, self-defence.
		Marshall, Peter Whitoria	19/05/2006	Barnes
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Safety procedures for deflation of truck tyres on mine site, supervision of autonomous skilled workers, rim design and tyre handling standards for mine trucks.
		Baker, Rodney John	15/05/2006	Barnes
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Trawler fishing, boat capsizing, hydrostatic released life rafts, PFDs, EPIRBs, search and rescue.
		Karajic, Scott Meho	26/04/2006	Barnes
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Gas drilling rig accident, supervision on drilling rigs, recommendations concerning the education of drilling rig supervisors and crew.
		Adams, Michael James	13/04/2006	Halliday
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Inquest, death in custody on 11/09/1997, hanging at Sir David Longland's Correctional Centre in Bribane.
		Meech, Paul Andrew	7/04/2006	Barnes
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Death in custody, watchhouse supervision, mental illness, involuntary assessment and involuntary treatment order, management of mental illness.
		Rhodes, Daniel Cory	24/03/2006	Barnes
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Police shooting, self defence.
		Bismark, Lex Robert	23/03/2006	Barnes
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Motor vehicl accident, recommendation concerning fitness to drive.
		Bourke, Raymond Francis	17/03/2006	Barnes
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Death whilst attempting to avoid being taken into custody, suicide.
		Smith, David Edward	17/03/2006	Barnes
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Death in custody, Prison murder, protective custody.
		Schumacher, Nicholas	16/03/2006	Smith
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Death at Townsville on 12 September 2004, Child death, motor vehicle incident, navy cadet, troop carrier.
		Matschoss, Wayne Barry	13/03/2006	Barnes
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Death in custody, natural causes.
		Pettigrew, Wayne Matthew	13/03/2006	Barnes
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Death in custody, natural causes.
		Creegan, Thomas	3/03/2006	Previtera
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Diving accident at Hastings Reef, Great Barier Reef, Far North Queensland.  Recommendations concerning training for the diving industry, assessment of fitness to dive and other issues.
		Hendy, Albert William	24/02/2006	Barnes
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Death in custody, natural causes.
		Sperling, Karl Peter	17/02/2006	Daley
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Drowning of an army cadet on exercise.
		Crossman, Troy Samuel	3/02/2006	Barnes
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Death in custody, recommendations concerning the management of 'at risk' prisoners, hanging points.
		Muckan, David Jones	3/02/2006	Barnes
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Psychiatric hospital death, benzodiasepines, obstructive sleep apnoea.  Recommendations concerning the observation of patients administered sedatives.

2005
Name/event			Findings delivered	Coroner
		Dell, Maren Lyndsey	19/10/2005	Lock
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Diving accident at Agincourt Reef, Great Barrier Reef, Far North Queensland.  Recommendations concerning training for the diving industry.
		Partridge, Phillip Bruce	22/12/2005	Barnes
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Death in custody, Police siege, suicide, mental health.
		Hansen, Anthony Kenneth	22/12/2005	Barnes
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Correctional Centre, transfer to hospital, death from natural causes.
		Rowland, Jet Paul	16/12/2005	Clements
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Motor vehicle accident, recommendations concerning fitness to drive, epilepsy and driving.
		Croft, Penelope Ann	2/12/2005	Rinaudo
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Motor vehicle accident. Recommendations concerning engine compartment door of buses.
		Perry, Jye Conrad (a child)	29/11/2005	Hennessy
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Mental health forensic patient, person of special notification.  Recommendations concerning flagging of files, integrated information system - medical and mental health, consequences of breach of limited community treatment conditions, confidentiality and proper disclosure to carers/family.
		Robe, Pryde Michael	15/11/2005	Clements
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Suicide, depression in juveniles. Recommendations concerning the management of mental health patients in the community.
		Tognola, Phillip Allan Walter	1/11/2005	Spencer
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Swimming pool drowning of a child. Recommendations concerning inspection of pools.
		Liddington, Craig; Eva, Stewart; Carpenter, Andrew	28/10/2005	Hennessy
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Emergency Medical Service (EMS) helicopter rescue, risks of night flying over water.  Recommendations concerning community helicopters providers - minimum standards for helicopters and pilots in EMS work, spatial disorientation in pilots, clinical co-ordination of EMS missions, provision of overnight medical care in remote communities (Hamilton Island) funding of community helicopter providers.
		Fernandez, Adam Anthony	17/10/2005	Clements
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Natural causes, capsicum spray.
		Waldon, Mark Anthony aka Hurricane, Mark Anthony	14/10/2005	Clements
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Natural causes, reaction to heroin withdrawal medication. Recommendations concerning the suitability of prescribing certain medication to prisoners, supervision of prisoners.
		Irwin, Perry James; Coates, Damien Lawrence	10/10/2005	Barnes
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Shooting of police officer, suicide of his assailant. Recommendations concerning QPS critical incident management, adequacy of communication devices for police, access and sale of ammunition, protective apparel.
		Naidu, Alvin	21/09/2005	Clements
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Recommendations concerning supervision of truants by the Department of Education.
		Cook, Robert Edward	19/09/2005	Clements
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Motor vehicle accident involving an elderly motor cyclist.
		Sabadina, Kathryn Marnie	24/08/2005	Barnes
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Anaphalactic shock. Recommendations concerning the recruitment and supervision of foreign trained doctors.
		Pugh, Samuel	10/06/2005	Verra
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Death south of Charters Towers on 17 August 2004, Highway Reward Mine, Rock fall.
		Robinson, Jacinta Kate	4/05/2005	Clements
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Death of a child undergoing surgery-cardiac tampenade. Recommendations regarding training for nurses and medical staff, allocation of specialist medical services.
		Hope Vale man	7/04/2005	Barnes
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Hope Vale man in an Aboriginal community police van. Recommendations concerning training of Aboriginal Community police officers.
		Landue, Shone; Reid, Gary; Doolan, Stanley	9/02/2005	Clements
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Recommendations concerning the inspection of boarding houses and fire safety.

2004
Name/event			Findings delivered	Coroner
		Fiechtner, Rodney Joseph	20/12/2004	Barnes
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Gas explosion on a drilling rig.  Recommendations concerning risk management on rigs.
		Eason, David John	6/12/2004	Barnes
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		English tourist missing on Fraser Island for two years.  Recommendations concerning searches and wilderness signage.
		Shoobridge, George Richard	28/10/2004	Previtera
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Death at Cairns on 1 December 2002, Cardiorespiratory failure, drug overdose, methadone program.
		Toohey, Alan Paul; Hill, Andrew Tasman	20/10/2004	Barnes
Add/Edit the Brief Outline of Circumstances Add or edit the brief outline of the circumstances of the finding.		Police pursuit in Coen.  Recommendations regarding cessation of such pursuits.

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