The Coroners Court of Victoria

The Coroners Court conducts inquests into suspicious deaths as well as those who die in government care or custody. A Coroner does not make determinations into criminal/civil liability, guilt or innocence. The main purpose of the Court is to provide recommendations preventing similar deaths occurring in the future. Coroners investigate deaths which are unnatural, unexpected, violent or which are caused by accident or injury. This may include deaths which take place at the time of or following a medical procedure, or where a doctor is uncertain about the cause of death. A coroner must investigate all deaths in state custody. Coroners also investigate deaths in which two or more children of the same parents have deceased.