Inquest into the death of Azaria Chantel Chamberlain - Appendix A

Contributing factors

• inadequate scientific methodology in forensic analysis
• over-confident expert opinions on novel matters
• destruction of test plates preventing defence verification
• failure to apply proper scientific controls
• misidentification of biological materials
• erroneous assumptions about dingo behaviour and canine damage to fabric
• dingo population density and aggressive behaviour at Ayers Rock in August 1980
• presence of dingo tracks and evidence near tent
• absence of adequate post-mortem examination due to body not being found

Coroner's recommendations

1. Establishment of a National Forensic Science Institute to coordinate forensic services, maintain research registers, and establish uniform standards across Australian laboratories
2. Preservation of blood test plates, gels, and photographs for examination by defence experts
3. Implementation of mandatory pre-use testing of anti-sera with known controls before forensic use
4. Requirement for proper controls on all immunochemical tests including substrate controls
5. Development of established criteria for determining reliability of scientific results before use in criminal cases
6. Greater liaison between forensic science centres and universities for research support
7. Autonomy of forensic science centres from police pressure to produce quick results
8. Implementation of standardised methods and terminology across forensic laboratories
9. Consultation between multiple experts before presenting novel scientific opinions in criminal trials