Coronial Findings on workplace deaths – an opportunity to learn

admin • February 16, 2026

Coroners Court findings are an opportunity to learn – especially when it comes to a workplace death.


The role of the Coroners Court is to:


The Coroners’ Court deals with certain reportable deaths and this includes “When someone dies from an accident or injury, even if there is a prolonged interval between the incident and death.” – including workplace deaths. These deaths must be reported to the coroner for investigation.


All of these reportable deaths are allocated to a Coroner who then investigates the death and then will consider whether anything could be done differently to help prevent similar deaths in the future.


Inquests are not held for every death, in fact less than 5% of deaths will be the subject of an inquest. The rest of the cases will have findings made ‘in chambers’.


The Coroner may or may not make ‘recommendations’ to prevent future similar deaths.


The Coroner may or may not then order for the findings to be published. Those cases which are published can be found at: Findings | Coroners Court of Victoria


The findings into any death are always sobering reading. But in the case of work-related deaths there is almost always a preventative opportunity – even when no specific recommendations are made. For this reason, it is important that these findings are made publicly available for those who wish to review them and learn (– assuming that the worker’s family has approved the publication of the report).


The Coroners Court says that they aim to ‘identify how similar deaths may be prevented’. If that is to truly be the case, then they need to be published and we must seek to read them and learn from these tragic deaths.


Perhaps the greatest tragedy of all would be if we do not learn from these horrific deaths in the workplace?


We pay our respects to those who have lost their lives at work and acknowledge the pain and suffering of those left behind.

Everyone has the right to come home from work alive and well at the end of the day.



 

By admin September 7, 2026
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