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Coronial inquiries 2015-16 to 2018-19

Note: the following table is based on the date that the coroner’s report was handed down, not the date of the incident.

Year report released

Case name

Description

Number of findings

Number of findings implemented

2015–16

Wilson

On 26 July 2013 while fishing for coral trout from Norlaus, Glenn Wilson was found floating face down in the water near his overturned fishing dory. An autopsy revealed he died due to drowning.

https://www.courts.qld.gov.au/__data/assets/pdf_file/0012/468759/cif-wilson-g-20160524.pdf

6

5

The outstanding recommendation relates to grandfathering provisions

2015–16

Donoghue

Ryan Harry Donoghue died at 7.19 pm on 29 November 2013 aboard the fishing vessel Newfish1 situated in the Gulf of Carpentaria. The cause of death was ventricular defibrillation due to electrocution.

https://justice.nt.gov.au/__data/assets/pdf_file/0005/281777/D02102013-Donoghue-including-attachment.pdf

4

4

2016–17

Llanto & Collado (Sage Sagittarius)

Cesar Llanto died on 30 August 2012 as a result of foul play, namely, that Mr Llanto was either thrown overboard or killed on the MV Sage Sagittarius and his body disposed of at a later time, by a person or persons unknown. Hector Collado died on 14 September 2012, in Newcastle Harbour aboard the MV Sage Sagittarius. The cause of his death was multiple injuries, which the coroner was satisfied he sustained as a result if being struck over the head by some kind of weapon or instrument by a person or persons unknown and then he was either thrown over the handrail outside the storeroom on the second deck or fell over the handrail to his death.

https://coroners.nsw.gov.au/coroners-court/download.html/documents/findings/2017/Llanto%20and%20Collado%20Inquest%20-%20FINAL%20findings%20as%20at%2031%20May%202017.pdf

1

No action required— finding addressed at a whole-of-government perspective

2016–17

Munn

Brett Anthony Munn was aboard the Seabring when it capsized in November 2016.

8

3

The open recommendations require potential regulatory or legislative change

2016–17

Trott

Leila Michelle Trott, 38, went missing sometime around 1330 on 6 April 2016, whilst swimming to retrieve a tender (a dinghy) that had come loose from its mooring and drifted away from Ocean Free, a tourist sailing vessel Leila was skippering on the Great Barrier Reef near Green Island off Cairns. Leila was located in the water at 1418.

https://www.courts.qld.gov.au/data/assets/pdf_file/0010/514477/cif-trott-lm-20170316.pdf

1

1

2017–18

Turner, Carter & Fairley

The deceased were on board the Returner when it sank on 11 July 2015. The vessel had undergone major modifications that rendered the vessel less stable in water. https://www.coronerscourt.wa.gov.au/_files/Carter,%20Fairley%20and%20Turner%20finding.pdf

6

6

2017–18

Bradshaw

Mr Bradshaw was found deceased in the water between a wharf at Hudson Creek in Darwin and a landing barge, the Sammy Express

https://justice.nt.gov.au/__data/assets/pdf_file/0019/482005/D00052017-Daniel-Bradshaw.pdf

3

3

2018–19

Russell

Allan Geoffrey Russel his dingy overturned https://www.magistratescourt.tas.gov.au/__data/assets/pdf_file/0006/466341/Russell,-Allan-Geoffrey-web-version.pdf

1

0