Tasmanian Consolidated Acts Tasmanian Consolidated Acts
(1) A coroner investigating a death must find, if possible –
(a) the identity of the deceased; and
(b) how death occurred; and
(c) the cause of death; and
(d) when and where death occurred; and
(e) the particulars needed to register the death under the Births, Deaths and Marriages Registration Act 1999; and
(f) the identity of any person who contributed to the cause of death.
(2) A coroner must, whenever appropriate, make recommendations with respect to ways of preventing further deaths and on any other matter that the coroner considers appropriate.
(3) A coroner may comment on any matter connected with the death including public health or safety or the administration of justice.
(4) A coroner must not include in a finding or comment any statement that a person is or may be guilty of an offence.
(5) If a coroner holds an inquest into the death of a person who died whilst that person was a person held in custody or a person held in care or whilst that person was escaping or attempting to escape from prison, a secure mental health unit, a detention centre or police custody, the coroner must report on the care, supervision or treatment of that person while that person was a person held in custody or a person held in care.