27. Purpose of inquiry

The purpose of an inquiry into the death of any person is to inquire into the cause of and circumstances connected with the death and, for that purpose, the proceedings and evidence at the inquiry must be directed to ascertaining the following matters insofar as they may be ascertained:

A Coroner at an inquiry is not to frame a finding in such a way as to determine any question of criminal, civil or disciplinary liability but is not inhibited in the discharge of his or her functions by any likelihood of liability being inferred from facts that the Coroner determines or recommendations that the Coroner makes.

At the conclusion of the inquiry, the Coroner is to record his or her findings as to the matters referred to in paragraphs (a) and (b) of subsection (1).