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  1. Recommendations Recap Issue 26 1 January-31 March 2021 [pdf, 984 KB]

    Recommendations Recap A summary of coronial recommendations and comments made between 1 January and 31 March 2021 Office of the Chief Coroner | 2021 (1) 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 deat

  2. Nelson Standards Committee v Grey [2023] NZLCDT 33 (4 August 2023) [pdf, 271 KB]

    ...some deaths were related to the government mandated vaccine programme. At the same time, we also recognise the distress of those who felt their concerns were not heard. These people include the family of a young man who, the Coroner has ruled has died because of complications from the vaccine. 1 Paraphrasing the words of Justice Brandeis in Whitney v California 274 U.S. 357 at [377] (1927). 2 On an application by Ms Grey to strike out the proceedings. 3 Section 240A Lawyers and C...

  3. Rec-Recap-2024-Q3-FINAL.pdf [pdf, 1.2 MB]

    ...hole is deeper than normal, or that water is flowing faster than normal. In summer, the river depth may be too low for swimming, jumping, or diving. g. Don’t swim alone. If you get into difficulty, there is no-one there to help you or go and get someone to rescue you. h. Let people know where you are going before you leave. i. If someone is in trouble, a safe rescue is a land-based rescue. Don’t try to rescue them from in the water. It is unlikely you will reach the person in tr...

  4. Recommendations recap - issue 5 [pdf, 1 MB]

    ...Acronym glossary 69 Index Contents 1 Adverse effects or reactions to medical/surgical care Case number CSU-2011-DUN-000270 2012 NZ CorC 165 CIRCUMSTANCES The deceased died at Dunedin Hospital of an injury to her brain, which occurred when a naso-gastric tube was incorrectly inserted following a procedure to relieve a build-up of fluid around the brain and spine. Two days after the tube had been inserted the deceased accidentally pulled it out, and, when a nurse tried to...

  5. Rec-Recap-Q3-2022.pdf [pdf, 691 KB]

    ...helicopter was a factor in the accident. Although not all of the wreckage was recovered, an examination of the recovered components (including all the dynamic assemblies) revealed no pre-existing failure. TAIC advised that it was very likely that when the helicopter took off from Chancellor Shelf, it struck the glacier surface with a high forward speed and a high rate of descent, with the engine delivering power. TAIC considered possible contributing factors to the crash and conclude...

  6. Recommendations recap - issue 4 [pdf, 832 KB]

    Recommendations recap A summary of coronial recommendations and comments made between 1 July–30 September 2012 ISSUE 4 O F N E W Z E A L A N D CHIEF CORONER O F F I C E O F T H E http://www.justice.govt.nz/courts/coroners-court/ Coronial Services of New Zealand Purongo O te Ao Kakarauri justice.govt.nz/coroners To request a copy of any full findings of cases contained in this edition, please contact our National Office. National Office coronial.information@justice.govt.nz

  7. Coroners-Court-Annual-Report-2023-WEB.pdf [pdf, 977 KB]

    ...distressing content of what my team reads and sees on a daily basis can also be challenging. OFFICE OF THE CHIEF CORONER I find joy in being part of a team that has a passion for people. The Coroners Court provides an opportunity to focus on how someone lived, rather than just considering their death, which means a lot to grieving families. The Court’s work in reducing numbers of preventable deaths is also important. While the workload was overwhelming initially, the new judicial...

  8. Chief-Coroners-Annual-Report-2021-22-and-2022-23.pdf [pdf, 1.4 MB]

    ...make recommendations designed to reduce the chances of other deaths occurring in similar circumstances. The coroner has a dual role, both investigative and judicial. The coroner as investigator works to establish the truth – whether someone has died, who that person is, and why, how, when and where they died. A coroner is assigned to investigate each of the deaths accepted into the jurisdiction of the Court, as well as making all the judicial decisions in relation t...

  9. Recommendations Recap Issue 15 [pdf, 453 KB]

    Recommendations Recap A summary of coronial recommendations and comments made between 1 January and 31 March 2018 Focus Recreational boating deaths Office of the Chief Coroner | 2018 (1) 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. W

  10. Recommendations Recap Issue 17 [pdf, 562 KB]

    ...Office of the Chief Coroner | 2018 (3) 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...