What is the role of the Coroner?

The Coroner's role is to record and investigate all sudden, unexpected or violent deaths or those that occur while the deceased is in lawful custody.

The Coroner may order a post-mortem examination to discover the cause of death and may also hold an inquest to investigate the circumstances leading up to the death.

An inquest will conclude when, where and how the deceased came by the medical cause of death.  It does not determine any civil or criminal liability for the death.