South Australian Consolidated Acts South Australian Consolidated Acts (1) The Coroner's
Court must, as soon as practicable after the completion of an inquest, give
its findings in writing setting out as far as has been ascertained the cause
and circumstances of the event that was the subject of the inquest.
(2) The Court may add
to its findings any recommendation that might, in the opinion of the Court,
prevent, or reduce the likelihood of, a recurrence of an event similar to the
event that was the subject of the inquest.
(3) However, the Court
must not make any finding, or suggestion, of criminal or civil liability.
(4) The Court must, as
soon as practicable after the completion of the inquest, forward a copy of its
findings and any recommendations—
(a) to
the Attorney-General; and
(b) in
the case of an inquest into a death in custody—
(i)
if the Court has added to its findings a recommendation
directed to a Minister or other agency or instrumentality of the
Crown—to each such Minister, agency or instrumentality of the Crown; and
(ii)
to each person who appeared personally or by counsel at
the inquest; and
(iii)
to any other person who, in the opinion of the Court, has
a sufficient interest in the matter.
(5) The Minister or
the Minister responsible for the agency or other instrumentality of the Crown
must, within 8 sitting days of the expiration of 6 months after receiving a
copy of the findings and recommendations under
subsection (4)(b)(i)—
(a)
cause a report to be laid before each House of Parliament giving details of
any action taken or proposed to be taken in consequence of those
recommendations; and
(b)
forward a copy of the report to the State Coroner.