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- At the end of an inquiry
Overview
A coroner’s inquiry usually ends with a hearing on the papers or an inquest. The coroner then makes a written finding about the facts of the death.
The coroner’s finding
A finding is the coroner's written report about the facts of the death. This is the last step in the coronial process.
It can include:
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who died
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where they died
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when they died
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how they died
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why they died
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any comments or recommendations the coroner makes.
The finding is based on the evidence the coroner has gathered or heard during the inquiry.
The coroner completes the inquiry by issuing a certificate of findings and written reasons for their findings. The case manager will send these to family and whānau.
The coroner’s recommendations
As part of their findings, the coroner may make recommendations to help reduce the chance of similar deaths happening in the future.
The coroner may make recommendations to organisations, agencies, or other people connected to the circumstances of the death.
Find more information about findings and recommendations in Coroners Court