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1. The family's rights

   ...Investigation Office Co-ordinators manage the cases from the time the death is reported to the Duty Coroner until the person is released from the mortuary. They keep families informed about what’s happening with the post mortem and any body tissue samples, and when the person is released from the mortuary.  Coronial Case Managers manage the case once the case has been assigned to a regional coroner until the coroner's finding is sent out to everyone involved. Anyone in the immediate fami...

   Located in:

   1. Coroners Court

2. Rec-Recap-2023-Q4-FINAL.pdf [pdf, 873 KB]

   ...promoting the need for the mandatory fitment of cockpit video recorder systems (CVRS) in helicopters. The obvious aim of these recommendations is to provide crash and death investigators with valuable information to help explain what has happened when things go wrong and take action to prevent future deaths. 8 III. Most recently, Coroner Cunninghame concluded an extensive inquiry into a Queenstown helicopter crash (Robinson R44) in 2015.1 Whilst the circumstances in th...

3. Rec-Recap-2024-Q1-FINAL.pdf [pdf, 873 KB]

   ...deceased on the high tide mark. He still had his wetsuit, weight belt and one flipper on. Police National Dive Squad investigated the incident and noted that Mr Witehira was on medication for high blood pressure and diabetes. Although Mr Witehira had someone on shore watching him, he was essentially diving alone. He did not abandon his weight belt when he got into difficulty and he was not medically fit to be freediving. Alone, these factors may not have been fatal but in combination...

4. Issue 41: 1 October- 31 December 2024 [pdf, 949 KB]

   ...Office of the Chief Coroner | 2024 (4) i Coroners’ recommendations and comments Coroners perform essential functions within our society. They inquire into a range of unexpected deaths to establish the identity of the person who has died and the cause and circumstances of their death. While inquiring into a death, a Coroner may make recommendations or comments for the purpose of reducing the chances of further deaths occurring in circumstances similar to those in which t...

5. Issue 25 1 October 31 December 2020 [pdf, 737 KB]

   ...Office of the Chief Coroner | 2020 (4) i Coroners’ recommendations and comments Coroners perform essential functions within our society. They inquire into a range of unexpected deaths to establish the identity of the person who has died and the cause and circumstances of their death. While inquiring into a death, a Coroner may make recommendations or comments for the purpose of reducing the chances of further deaths occurring in circumstances similar to those in which t...

6. Rec-Recap-2022-Q4-FINAL.pdf [pdf, 931 KB]

   ...from shore. If caught in a rip current, RELAX and float, RAISE your hand to signal for help, RIDE the rip until it stops and you can swim safely back to shore. Remember – nobody is stronger than a rip. • If in doubt, stay out. • If you see someone in trouble, call 111 and ask for Police. II. The above safety messages are important. They should be publicised and reiterated ahead of the upcoming beach season. Note: An order under section 74 of the Coroners Act 2006 prohibits...

7. Recommendations Recap 2024 Q2 [pdf, 884 KB]

   Recommendations Recap A summary of coronial recommendations and comments made between 1 April and 30 June 2024 Office of the Chief Coroner | 2024 (2) i Coroners’ recommendations and comments Coroners perform essential functions within our society. They inquire into a range of unexpected deaths to establish the identity of the person who has died and the cause and circumstances of their death. While inquiring into a death,

8. Sudden death from genetic heart disorder

   On this page: Most disorders aren’t genetic but some are Heart muscle problems The CIDG investigation What the investigation will achieve The sort of cases the CIDG investigates Get more information About the CIDG Approximately 100 sudden natural deaths occur in 1–40 year olds in New Zealand each year. In about half of these, either no cause is found (‘unascertained’) in the post mortem examination or there may be signs of a heart muscle problem (‘cardiomyopathy’). Most disorders...

   Located in:

   1. Coroners Court >
   2. About coroners & Coronial Services

9. Recommendations Recap Issue 18 [pdf, 736 KB]

   ...earthquake, and noting the need for information and education referred to by MBIE in its Report, I make the following comments pursuant to section 57A of the Coroners Act 2006: Louis Edgar died on 14 November 2016 due to injuries he sustained when the Elms Homestead collapsed in the 7.8M Kaikoura earthquake. The building was a two-storey bay villa constructed in the 1870s with unreinforced concrete. http://www.nzlii.org/nz/cases/NZCorC/2018/28.html 5 Mr Edgar’s...

10. Rec-Recap-2023-Q1-FINAL.pdf [pdf, 889 KB]

    ...22 August 2020. Blood samples taken from Manson showed toxic levels of the benzodiazepine etizolam (approximately 0.9mg/L). After Manson was taken to hospital a bag with white powder was found in his room. This was no longer in Manson’s flat when Police searched it. A post-mortem examination subsequently established that Manson had died as a result of an overdose of the benzodiazepine etizolam. The pathologist reported that if Manson had taken etizolam tablets it would have require...