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Lindt Cafe siege inquest findings: ‘the deaths were not the fault of police’

IT’S been years coming, but the Lindt Cafe siege survivors and the families of those killed have finally got an official answer to why things went so wrong.

Lindt cafe siege victim Tori Johnson at the window of the Cafe just hours before he was executed by gunman Man Haron Monis. Picture: Channel 7.
Lindt cafe siege victim Tori Johnson at the window of the Cafe just hours before he was executed by gunman Man Haron Monis. Picture: Channel 7.

THE Lindt Cafe siege gunman was a “vicious maniac (with a) severe personality disorder”, a scathing coroner’s report has found.

NSW Coroner Michael Barnes this morning delivered the findings from the inquest into the deaths arising from the Lindt Cafe siege in Martin Place on December 15, 2014.

He described gunman Man Haron Monis as a “vicious maniac (who) oscillated between feigning regard for (the hostages’) welfare and threatening to blow them apart”.

“The terror they endured could fairly be described as torture,” the coroner said.

Mr Barnes told a packed the courtroom at Sydney’s John Maddison Tower that a psychiatrist called in by police gave erroneous assessments of the situation inside the cafe and issued ambiguous advice, which contributed to police underestimating the threat Monis posed.

The coroner said the siege “would have challenged any police force in the world”.

Lindt Cafe manager Tori Johnson, 34, was one of 18 people held hostage for 17 hours before he was shot at point blank range by gunman Man Haron Monis, 50, at 2.13am on December 16.

Police stormed the cafe 59 seconds later and killed Monis.

Mother and barrister Katrina Dawson, 38, was killed by a fragment of a police bullet in the crossfire.

Throughout the inquest — which started six weeks after the siege — police were heavily criticised for not storming the stronghold before hostages were killed.

“The deaths and injuries that occurred as a result of the siege were not the fault of police,” Mr Barnes said.

“All of the blame for those rests with (gunman) Man Haron Monis.

“He created the intensely dangerous situation, he maliciously executed Tori Johnson, he barricaded himself into a corner of the cafe and his actions forced police to enter the cafe in circumstances where the risk of hostages being wounded or killed was very high.”

But Mr Barnes said “mistakes can’t be papered over if outcomes and public safety are to be improved”.

Some of the most controversial evidence tendered during the inquest related to the police response with the probe hearing vital information wasn’t passed on to commanders quickly enough and resources were lacking.

In his findings, the coroner said emergency action “should have been initiated” by tactical police when Monis fired shots at fleeing hostages at 2.03am on December 16. “The 10 minutes that lapsed without decisive action by police was too long,” Mr Barnes said.

Police commanders previously told the inquest they held off sending tactical officers into the cafe earlier because of concerns the gunman had a bomb in his backpack.

Alexander and Jane Dawson, the parents of Lindt Cafe siege victim Katrina Dawson, walk arm in arm as they arrive to the Lindt Cafe siege inquest findings in Sydney, Wednesday, May 24, 2017. Picture: AAP /David Moir.
Alexander and Jane Dawson, the parents of Lindt Cafe siege victim Katrina Dawson, walk arm in arm as they arrive to the Lindt Cafe siege inquest findings in Sydney, Wednesday, May 24, 2017. Picture: AAP /David Moir.
Former Lindt Cafe siege hostage Jarrod Morton-Hoffman (centre) leaving the Lindt Cafe siege inquest findings in Sydney, Wednesday, May 24, 2017. Picture: AAP /David Moir.
Former Lindt Cafe siege hostage Jarrod Morton-Hoffman (centre) leaving the Lindt Cafe siege inquest findings in Sydney, Wednesday, May 24, 2017. Picture: AAP /David Moir.

He said the first shot “made it clear there was little to no chance of resolving the siege” and that hostages inside were still at “extreme risk of harm”.

“Tori Johnson was executed in the meantime before the decision to enter the cafe was made,” Mr Barnes said.

After the findings were delivered, NSW Police Commissioner Mick Fuller told reporters that “in hindsight, NSW Police should have gone in earlier”.

“I accept the criticisms,” he said.

“As first commander I believed there was a bomb.

“It’s too easy (in hindsight) to dismiss the bomb.”

Among those in court for the inquest findings were Ms Dawson’s parents Sandy and Jane Dawson and brother Angus Dawson, and Mr Johnson’s partner Thomas Zinn, mother Rosie Connellan and father Ken Johnson.

They sat through the long-running inquest — which heard from dozens witnesses over 23 weeks of hearings — for most of the hearings.

READ: The Lindt Café tragedy one year on

Katrina Dawson, 38, was one of two hostages killed in a dramatic 16-hour siege at the Lindt cafe in Sydney, Australia on December 16, 2014. Picture: Supplied.
Katrina Dawson, 38, was one of two hostages killed in a dramatic 16-hour siege at the Lindt cafe in Sydney, Australia on December 16, 2014. Picture: Supplied.
Tori Johnson was executed inside the Lindt Cafe by gunman Man Monis at point blank range.
Tori Johnson was executed inside the Lindt Cafe by gunman Man Monis at point blank range.
CCTV footage shows Senior Constable Paul Withers interacting with Katrina Dawson at the Lindt Cafe during the siege in Martin Place. Constable Withers was the first responder on the morning of the siege.
CCTV footage shows Senior Constable Paul Withers interacting with Katrina Dawson at the Lindt Cafe during the siege in Martin Place. Constable Withers was the first responder on the morning of the siege.

Mr Barnes determined the siege was a “terrorist incident” but said it was not known if Monis was “motivated by IS ... or used its reputation to bolster his agenda”.

Monis was on ASIO’s radar but there was nothing, even in his confronting Facebook posts a week before the Lindt Cafe siege, to indicate what was about to happen, according to the coroner.

READ: Hostage’s triple-0 call

READ: Text messages from inside the cafe

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READ: ‘The moment we knew something was wrong’

READ: Inquest raises uncomfortable questions for police

Hostage Julie Taylor inside the Lindt Cafe during the 2014.
Hostage Julie Taylor inside the Lindt Cafe during the 2014.
Elly Chen was one of several hostages forced to stand in a Lindt cafe window during the siege. Picture: Seven News.
Elly Chen was one of several hostages forced to stand in a Lindt cafe window during the siege. Picture: Seven News.
Sixteen of the 18 Lindt Cafe hostages escaped or survived until the police brought the standoff to an end and two innocent people were killed. Picture: Chris McKeen
Sixteen of the 18 Lindt Cafe hostages escaped or survived until the police brought the standoff to an end and two innocent people were killed. Picture: Chris McKeen

Mr Barnes said Australia’s national security agency had justifiably labelled Monis a serial pest, and its assessments of him were adequate and appropriate.

Eighteen reports to the national security hotline about Monis’ public Facebook page in the week before the December 2014 siege had not been fully assessed and remained “open” at the time of the incident.

“While Monis’ public Facebook page did contain confronting and provocative content, there was nothing indicative of a desire or intent to undertake an act of politically-motivated violence nor suggestive of a capability to do so,” Mr Barnes said.

READ: Hostage Paolo Vassallo talks about emotional impact of ordeal

READ: Five biggest revelations from Sydney siege inquest

READ: Hostage thought it was a prank when gunman pulled gun

READ: Hostage’s ‘last cry for help’

READ: Inside the mind of Monis

This image from CCTV footage of the Lindt Cafe Siege shows hostage Louisa Hope standing in the middle of the stronghold, illuminated in the explosions as police stormed the building. Picture: Supplied
This image from CCTV footage of the Lindt Cafe Siege shows hostage Louisa Hope standing in the middle of the stronghold, illuminated in the explosions as police stormed the building. Picture: Supplied
Lindt Cafe siege hostage Louisa Hope speaks to the media after attending the Lindt Cafe siege inquest findings in Sydney, Wednesday, May 24, 2017. Picture: AAP /David Moir.
Lindt Cafe siege hostage Louisa Hope speaks to the media after attending the Lindt Cafe siege inquest findings in Sydney, Wednesday, May 24, 2017. Picture: AAP /David Moir.

Then NSW Police Commissioner Andrew Scipione, Deputy Commissioner Catherine Burn and Assistant Commissioner Jeff Loy had previously been grilled on the stand about allegedly interfering inappropriately with operational matters during the siege. But today Mr Barnes cleared them of any wrongdoing.

Mr Barnes also rejected the view of some commentators that the Australian Defence Force should have assumed responsibility for the siege. “With all due respect to those of that view, it is simplistic and unrealistic,” he said.

He said there are legal obstacles to the ADF carrying out armed domestic action and the Lindt Cafe siege was not one of the situations where that could take place.

READ: The terrible toll on those left behind

READ: The demands police weren’t willing to meet

READ: Why police didn’t storm the cafe earlier

READ: The mental state of Man Monis

READ: Top cop describes hostages as ‘jovial’

Streams of people left flowers at the memorial for victims Tori Johnson and Katrina Dawson in Martin Place in the days following the siege. MS Dawson’s family visited the site three days after the tragedy. Picture: John Grainger.
Streams of people left flowers at the memorial for victims Tori Johnson and Katrina Dawson in Martin Place in the days following the siege. MS Dawson’s family visited the site three days after the tragedy. Picture: John Grainger.
Investigators examine the crime scene at the Lindt Cafe in Martin Place, Sydney where two hostages lost their lives in the December 2014 siege. Picture: Craig Greenhill
Investigators examine the crime scene at the Lindt Cafe in Martin Place, Sydney where two hostages lost their lives in the December 2014 siege. Picture: Craig Greenhill

THE CORONER’S RECOMMENDATIONS

The coroner’s 600-page report contained 45 recommendations including the NSW Police force conduct a review of training for negotiators.

Mr Barnes also made recommendations for improvement of the assessment of politically-motivated violence and inter-agency information sharing and co-operation.

Attorney-General George Brandis has spoken to ASIO chief Duncan Lewis and Australian Federal Police commissioner Mark Colvin about the coroner’s recommendations and findings.

Senator Brandis will make a statement to the Senate’s legal and constitutional affairs committee later on Wednesday.

TORI JOHNSON’S FAMILY SPEAK OUTSIDE INQUEST

Outside court, Mr Johnson’s partner, Thomas Zinn, said the inquest had exposed a series of inadequacies by authorities.

“We were confronted with a systematic failure of various authorities, who at times were confused, ill-informed, unprepared and under-resourced to deal with Monis,” Mr Zinn told reporters.

“Two and a half years ago we could not have imagined what was lying ahead of us and what was going to be revealed in this inquest,” Mr Zinn said.

“Throughout the inquest, one shocking discovery followed the next.” Despite the “failures of various authorities”.

Mr Zinn said the family had a “high regard and respect” for the officers who put their lives at risk.

“We acknowledge the grief and trauma they have experienced,” he said.

Mr Zinn said the family would now review the findings in detail to see if their questions had been answered and submissions considered.

“Everybody who knew Tori would agree that we lost a guardian angel that night,” he said.

“The pain deep in our hearts from losing Tori is as strong now as it was in December 2014.”

Mr Johnson’s father Ken spoke briefly, saying: “Tori’s act of bravery is testimony that we are capable of love, peace and tolerance.”

READ: Desperate final texts from victim Tori Johnson

READ: Why gunman failed to spark police action

READ: Pressure mounts on top cop Mark Jenkins

READ: Shocking reason calls from hostages weren’t answered

READ: Training for negotiators cut back before Sydney siege

Terrorist Man Haron Monis) as killed by police after holding 18 hostages captive in a 17 hour siege that left two innocent people dead. Picture: Cameron Richardson.
Terrorist Man Haron Monis) as killed by police after holding 18 hostages captive in a 17 hour siege that left two innocent people dead. Picture: Cameron Richardson.
Tactical response officers on scene. Picture: Toby Zerna
Tactical response officers on scene. Picture: Toby Zerna

For Mr Johnson and Ms Dawson’s families, the lengthy inquest process has been painful, particularly hearing that the death of a hostage was set as the trigger for officers to launch their assault.

“It’s outrageous,” Ms Dawson’s mother Jane told the ABC’s Four Corners in an interview aired on Monday.

READ: Top cop rejected plan to storm cafe

READ: 3D reconstruction of Sydney siege

READ: Tori Johnson’s mother storms out of inquest

READ: Monis’ head ‘burst like a balloon’

READ: Officer hit by shrapnel thought he had died

Former NSW Deputy Commissioner Catherine Burn leaves the Lindt Siege Inquest after giving evidence in August 2016. Picture: Renee Nowytarger.
Former NSW Deputy Commissioner Catherine Burn leaves the Lindt Siege Inquest after giving evidence in August 2016. Picture: Renee Nowytarger.
Former NSW Police Commissioner Andrew Scipione arrives to give evidence at the Sydney siege inquest. in August 2016. Picture: John Feder.
Former NSW Police Commissioner Andrew Scipione arrives to give evidence at the Sydney siege inquest. in August 2016. Picture: John Feder.

WHY WAS MONIS OUT ON BAIL?

The families of Mr Johnson and Ms Dawson criticised police and the Director of Public Prosecutions just days before inquest findings were released. In an interview with the ABC’s Four Corners, the families also questioned the influence of a psychiatrist, who had thought Monis didn’t want to kill despite facing 40 serious charges for sex offences and accessory to the murder of his estranged wife.

Monis was freed on bail in December, 2013 after being charged with the crimes.

Mr Barnes today said oral submissions of the ODPP solicitor who opposed Monis’ application for bail were inadequate and the lawyer should have filed written submissions opposing it.

In his findings, Mr Barnes said police made a mistake by failing to arrest Monis when 37 new sex offence charges were laid two months before the fatal siege.

According to the coroner, the Office of the Director of Public Prosecutions and police didn’t realised that some of those new offences occurred while Monis was on bail on Commonwealth charges for sending offensive letters to the families of dead Australian soldiers.

That information could have seen Monis refused bail prior to the siege.

But the coroner concluded that those involved in the bail decisions were not responsible for the gunman’s ultimate actions and subsequent deaths. “He alone was to blame for the deaths,” Mr Barnes wrote in his final report, released on Wednesday.

READ: Commander breaks down in tears at inquest

READ: Sniper tells of watching hostage die

READ: Rare insight into the job of Australia’s police snipers

READ: Lindt Café siege CCTV footage

READ: Inside the Lindt Café after police killed Monis

NSW Coroner Michael Barnes presided over the long-running inquest into the deaths arising from the Lindt Cafe siege. Picture: AAP Image.
NSW Coroner Michael Barnes presided over the long-running inquest into the deaths arising from the Lindt Cafe siege. Picture: AAP Image.

The anticipation of adverse findings fuelled a fiery pre-emptive defence from the Police Association of NSW, whose acting president Tony King published a 3400-word attack on Monday.

“This inquest has failed the community by becoming a witch-hunt into policing rather than a sober, level-headed search for the truth,” he wrote.

Former Lindt Cafe siege hostage Louisa Hope — who has become a familiar face at the inquest over the past 18 months — addressed Mr King’s comments as she left the court today.

“We don’t at all feel that the police are under attack or unnecessarily harassed,” she said.

“When it comes to something like the coroner’s report it is necessary that we have critical analysis around all of our institutions and government departments.

“Critical analysis is not a bad thing it is good for all of us, as we all try to negotiate living in this new age of terror, we all need to consider new things and new ways and as a community we all come together and support our police.

“So there will be things to be reviewed and considered it is nothing to be afraid of and that we will work together, I am sure, as a community to support our going forward.”

Ms Hope — who was used by the gunman as a human shield during the siege — had some final words before she walked away from the inquest for the last time.

“It is really a wonderful thing that this over now, it has been a very stressful time as you would understand and getting back to normal will be lovely,’ she said.

READ: The cop who killed Monis

READ: What role did top cops play?

READ: Fiery exchange at Sydney siege inquest

READ: Why it all went wrong

READ: A litany of missed chances to save hostages

megan.palin@news.com.au

Originally published as Lindt Cafe siege inquest findings: ‘the deaths were not the fault of police’

Original URL: https://www.dailytelegraph.com.au/news/national/lindt-cafe-siege-inquest-findings-the-deaths-were-not-the-fault-of-police/news-story/33df3e1103cae0ca5df4c4b7ef52a1b4