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1. GUY Scott Grahame (CSU 2010 PNO 261) [pdf, 409 KB]

   ...a coroner. These include deaths without known cause, suicides, unnatural or violent deaths, deaths for which no doctor’s certificate is given, deaths during medical, surgical or dental procedures, and deaths in official custody or care. 9. When a coroner takes jurisdiction of a reported death a decision is then made as to whether a formal inquiry into the death needs to be opened5 (although inquiries must be opened into deaths that appear to have been self-inflicted, and to deaths...

2. About coroners & Coronial Services

   ...Coronial Services Unit at the Ministry of Justice. Find out more about the Chief Coroner and coroners Find out more about Coronial Services The Coroners Court is governed by the Coroners Act 2006. What a coroner does Police always inform a coroner when someone dies unexpectedly, violently or in suspicious circumstances. Chief Coroner & coroners Coroners are like judges. They are qualified lawyers appointed as judicial officers to look into unexpected, violent or suspicious deaths to f...

   Located in:

   1. Coroners Court

3. Rec-Recap-2023-Q2-FINAL.pdf [pdf, 1013 KB]

   ...Mr Pita’s death, he had started using synthetic drugs on a weekly basis. On the evening of 25 June 2019, Mr Pita went to his aunt’s address. Shortly after arriving, his aunt went into the bathroom. Mr Pita was rolling a cigarette at the time. When she exited the bathroom, she discovered Mr Pita unresponsive on the floor next to the bed. He had vomited. She ran outside to seek help and a neighbour rang emergency services and commenced CPR. Mr Pita was pronounced deceased at the scene...

4. Recommendations Recap Issue 16 [pdf, 498 KB]

   Recommendations Recap A summary of coronial recommendations and comments made between 1 April and 30 June 2018 Office of the Chief Coroner | 2018 (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,

5. Recommendations recap - issue 12 [pdf, 996 KB]

   ...one’s life can be inferred. The fact that an accident is not established does not mean that suicide is established, and suicide must not be presumed merely because it seems on the face of it to be a likely explanation. Notes Care needs to be taken when interpreting and reporting figures relating to suicide. The data includes all active cases before coroners where intent has yet to be established. Therefore, some deaths provisionally classified as suicides may later be determined not to...

6. Rec-Recap-2023-Q3-FINAL.pdf [pdf, 790 KB]

   ...At approximately 8:00am a nearby fishermen heard a shout and looked up to see a man, later identified as Mr Andrews, in the water being swept out into the ocean. Emergency services were notified immediately, and two helicopters were deployed. When Mr Andrews was located by one of the helicopters he was conscious and floating on his back. The helicopter was not equipped for rescue, so a lifejacket was dropped to him as he was not wearing one, but he was unable to put it on and instead...

7. Recommendations recap - issue 2 [pdf, 1.7 MB]

   ...NUMBERS Three inquests held under the Coroners Act 1988: 1. Inquest held 18 November 2004, Christchurch 2. Inquest held 8 September 2004, Christchurch 3. Inquest held 8 September 2004, Christchurch CASE SUMMARIES 1. The deceased, a 14 year old boy, died after inhaling butane. His death was caused by a combination of cardiac arrhythmia related to butane inhalation. The deceased was involved with the Police Pan Pacific Youth Project and Child Youth and Family Services. 2. The decea...

8. Chief Coroner 2017-18 Annual Report [pdf, 3 MB]

   ...integrity and effectiveness of the coronial system. This includes helping to achieve consistency in coronial decision-making and other coronial practices. Coroners are independent judicial officers with a legal background who investigate sudden, unexplained or suspicious deaths. They are based throughout the country with offices in Whangarei, Auckland, Hamilton, Rotorua, Hastings, Palmerston North, Wellington, Christchurch, and Dunedin. Back row left to right: Cor...

9. Recommendations recap - issue 10 [pdf, 1021 KB]

   ...involving medication errors where a coroner has chosen not to make recommendations or comments. The Coroner’s role in investigating and preventing fatal medication errors The Coroners Act 2006 – Decision whether to open and conduct an inquiry When a coroner decides whether or not to open and conduct an inquiry, he or she must determine whether or not the death appears to have been natural; whether it is a result of the actions or inactions of any other person; the existence of...

10. MOJ0047.03_factsheet_JUL23-Samoan_WEB.pdf [pdf, 222 KB]

    ...sē e pele ia te oe. O le case manager na tofia e galulue faatasi ma le tagata e suesueina mafuaaga lilo o maliu o ia lea e te fesootai i ai, ma e faafesootai atu oe e auala atu i se imeli po o le pusa meli. E tuuina atu ia te oe se tusi faamatala When Someone Dies Suddenly, e maua ai isi faamatalaga i tulaga e tatau ona faamoemoe i ai mo masina o sosoo ai. O le a lafo atu foi e le case manager ia te oe, po o se isi tagata o lou aiga, nisi faamatalaga e tusa ma le faagasologa o le suesu...