Coronial recommendations

Under section 35 of the Coroners Act 1993, the coroner can report to the Attorney‑General about a death or disaster they have investigated.

Inquest recommendations

During an inquest, the coroner can make comments or recommendations about anything connected to the death that relates to:

• public health or safety
• the administration of justice
• preventing similar deaths in the future.

These recommendations can appear in either:

• inquest findings
• chamber findings.

When a recommendation is made

Most recommendations are directed to NT Government departments, but they can also be made to non‑government organisations.

The NT Government reviews every recommendation and prepares a response.

The response explains:

• whether the government will implement the recommendation
• how it will be implemented
• why it will not be implemented.

These responses are then published.

Although nothing can make up for the loss of a loved one, publishing recommendations and responses aims to give families and friends some comfort that steps are being taken to prevent similar tragedies.

Publishing responses

Since 2019, the Office of the Coroner has published NT Government responses to each set of findings where recommendations were made.

If you have questions about how a specific recommendation is being put into practice, contact the department or agency named in the relevant response.

Go to response to recommendations.