Coroners Court New South Wales

Coronial findings and recommendations

To access a finding not listed here, please make an application (PDF, 112.1 KB) to the Court. In some inquests, recommendations are made to Ministers and Government and non-government agencies. For a full list of recent recommendations and responses, please go to this site.

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Showing results 1 - 10 of 1035 results

Inquest into the death of Malcolm Baker (241.7 KB,PDF File)

Decision of Deputy State Coroner Baptie

CORONIAL LAW - death in custody, cause and manner of death

Inquest into the death of Adam Moore (331.5 KB,PDF File)

Decision of Deputy State Coroner Lee

CORONIAL LAW – New South Wales Police Force Safe Driving Policy, whether New South Wales Police officer engaged in pursuit, traffic stop

Inquest into the deaths of Lilie James and Paul Thijssen (543.0 KB,PDF File)

Decision of State Coroner O'Sullivan

CORONIAL LAW – manner of deaths – homicide by a known person – self-inflicted death – gendered violence – intimate partner violence – coercive control – domest

Inquest into the death of Brooke Tiddy (562.5 KB,PDF File)

Decision of Deputy State Coroner Devine

CORONIAL LAW – elective bariatric surgery - adequacy of pre-operative assessments – particularly pre-anaesthetic screening - rare condition - Sponastrime Dyspl

Inquest into the death of Bradley Vincent Balzan (965.8 KB,PDF File)

Decision of State Coroner O'Sullivan

CORONIAL LAW – s 23 – death as a result of a police operation – police powers – stop and search – constructive detention – LEPRA – decision to engage in foot p

Inquest into the death of Simone Strobel (609.8 KB,PDF File)

Decision of State Coroner O'Sullivan

CORONIAL LAW – fresh inquest – unsolved homicide – death of German national in 2005 – previous inquest held in 2007 – ongoing police investigations in NSW and

Inquest into the death of Amar Dk Kattola (420.1 KB,PDF File)

Decision of Deputy State Coroner Pearce

CORONIAL LAW – cause and manner of death – unsolved homicide

Inquest into the death of BR (1.3 MB,PDF File)

Decision of Deputy State Coroner O'Neil

CORONIAL LAW —12-month-old infant, unascertained cause of death- medical event at home leading to cardiac arrest-treatment in Manning Base and John Hunter Hosp

Inquest into the death of JF (615.1 KB,PDF File)

Decision of Deputy State Coroner Pearce

CORONIAL LAW – death as a result of a police operation – mental health – appropriateness of police response – suicide prevention measures at Redhead Headland

Inquest into the disappearance and suspected death of Sana Salman (330.2 KB,PDF File)

Decision of Deputy State Coroner Lee

CORONIAL LAW – whether missing person now deceased, date and place of death, cause and manner of death, North Head, search operation

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