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.

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Showing results 1 - 10 of 967 results

Inquest into the death of AA (3.3 MB,PDF File)

Decision of Deputy State Coroner Truscott

Coronial Law, childhood obesity, obstructive sleep apnoea, medical neglect, care and protection

Inquest into the death of DB (847.0 KB,PDF File)

Decision of Deputy State Coroner Grahame

CORONIAL LAW - infant death, homicide, non-accidental injuries, FACS, Family and Community Services, DCJ, Department of Communities and Justice, risk of seriou

Inquest into the death of Michael Sanderson (3.8 MB,PDF File)

Decision of Deputy State Coroner Hosking

CORONIAL LAW - Mandatory inquest pursuant to s 23(1 )(d)(ii) of the Coroners Act 2009 (NSW)- First Nations death in custody- communication and treatment of fam

Inquest into the death of Ms K (464.4 KB,PDF File)

Decision of Deputy State Coroner Ryan

CORONIAL LAW - mandatory inquest, death of a person by homicide, coercive control, was response of NSW Police Force to reports of domestic and family violence

Inquest into the death of RD (324.5 KB,PDF File)

Decision of Magistrate McLaughlin, Coroner

CORONIAL LAW – Group A Streptococcus pneumonia with sepsis – NSW Ambulance protocols for transportation when vital signs outside the reference range/outside th

Inquest into the death of NL (483.3 KB,PDF File)

Decision of Deputy State Coroner Lee

CORONIAL LAW – cause and manner of death, cardiac arrythmia, QT prolongation, hypothyroidism, compliance with thyroxine medication, endocrine management, thyro

Inquest into the death of Michelle Michell (4.1 MB,PDF File)

Decision of Deputy State Coroner Baptie

CORONIAL LAW - domestic violence - homicide - NSW Police Force - Domestic Violence Safety Assessment Tool (DVSAT) - Apprehended Domestic Violence Order - cross

Inquest into the death of Bernard Greenwell (398.8 KB,PDF File)

Decision of Deputy State Coroner Franklin

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

Inquest into the death of HC (242.3 KB,PDF File)

Decision of Deputy State Coroner O’Neil

CORONIAL LAW – missing person –overboard from boat –search –not possible to survive –

Inquest into the death of Warren Simon (495.5 KB,PDF File)

Decision of Deputy State Coroner Pearce

CORONIAL LAW – death as a result of police operation – First Nations man – appropriateness of police response

Last updated:

02 May 2025