Coronial Findings Index
Coroners' findings about the deaths of people with disability, sorted into categories so patterns can be seen. Each entry is an anonymised summary with a link to the court's own record. We do not publish names or retell anyone's story.
Currently covering Victoria. Other states are being added. How this index works
Showing 1 of 11 findings
A person aged 45–54 with physical disability died in the justice system (regional Victoria). The coroner made recommendations. NDIS: had an NDIS plan.
Justice or correctionsHealth careNDIS plan inadequateCategories and court record for COR 2022 002515
How this index works
Coroners publish their findings on court websites. We read each published finding, decide whether it concerns a person with disability, and sort it into categories: the setting, the circumstances, any issues the finding raises, and what the coroner did.
The categories are assigned by AI and may contain errors. They are our reading, not the coroner's words. The court record is the authority. Follow the link on each entry to read the finding itself.
Summaries are built from the categories only. We do not include names, exact ages, suburbs or any retelling of the person's life. If a court later restricts or changes a finding, the link goes to the court's current listing.
Not every death is referred to a coroner, and not every finding is published online, so these numbers are a floor, not a count of everyone.
To report a mistake or ask for an entry to be removed, contact us.