Coronial findings and recommendations

To access a finding not listed here, please make application (DOC, 62.0 KB) to the Court. In some inquests recommendations are made to Ministers and Government and non-government agencies.

Showing 71-80 of 92 results

Recommended

Inquest into the death of Paul Hannan

Decision of Deputy State Coroner O'Neil

CORONIAL LAW – death in custody, intentionally self-inflicted
Recommended

Inquest into the disappearance and suspected death of Beilin Zhang

Decision of Deputy State Coroner O'Neil

CORONIAL LAW - missing persons - no suspicious circumstances
Recommended

Inquest into the disappearance and suspected death of Annemarie Jeffery

Decision of Deputy State Coroner Grahame

Coronial Law, missing person, LANDSAR search
Recommended

Inquest into the death of LT

Decision of Deputy State Coroner Ryan

CORONIAL LAW – death of a person in custody – lethal overdose of methylamphetamine – adequacy of emergency medical response – how did deceased person get access to methylamphetamine – recommendations
Recommended

Inquest into the death of KT

Decision of Deputy State Coroner Ryan

CORONIAL LAW – death of a person in custody – overdose of clozapine medication - was mental health care of an appropriate standard - recommendations
Recommended

Inquest into the death of Antonio Hermiz

Decision of Deputy State Coroner Grahame

CORONIAL LAW, death by gunshot wounds, unsolved homicide
Recommended

Inquest into the death of Luis Fernandez

Decision of Deputy State Coroner D. Lee

CORONIAL LAW – whether missing person now deceased, date and place of death, cause and manner of death, allocation of officer-in-charge if investigation, delays in NSWPF investigation, collection and preservation of evidence in a timely manner,
Recommended

Inquest into the death of Matthew Smith

Decision of Deputy State Coroner O'Neil

CORONIAL LAW – death in custody – natural causes
Recommended

Inquest into the death of James Brown

Decision of Deputy State Coroner Kennedy

CORONIAL LAW – Cause and manner of death, death in custody, natural causes, care and treatment
Recommended

Inquest into the death of William Edmunds

Decision of Deputy State Coroner Kennedy

Coronial law, cause and manner of death, surgical error, Hartmann’s procedure, ileus, stoma, iatrogenic mechanical bowel obstruction, peritonitis, open disclosure, open disclosure at the time of error being discovered, involvement of original

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Coronial findings and recommendations

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