Trojan - In the above case maybe not, but the coroner's court is the most effective forum for exposing every aspect of such tragic events; and certainly has proven effective at changing safety culture and regulation in other industries.
Tailwheel - I am also concerned that CASA may in some way, influence the Coroner's findings.
Sarcs - perhaps the coroner would do well to talk to Senator Fawcett before passing the findings and recommendations!.
Ll@@8 - There's a lot of very angry people attached to this case who want justice, now and forever in the future.
All true of so many cases.