Coroners Act 2003

Without limiting the matters to which the board may have regard in reviewing a domestic and family violence death, the board must consider the following matters—

the events leading up to the death;

any interaction with, and the effectiveness of, any support or other services provided to the deceased person and the person who caused the death;

the general availability of services mentioned in paragraph (b);

failures in systems or services that may have contributed to, or failed to prevent, the death.