Coronial findings 

To access a finding not listed here, please make application (DOC , 61.5 KB) to the Court. In some inquests recommendations are made to Ministers and Government and non-government agencies.

Showing 1-10 of 51 results

  • Recommended
    Decision of Deputy State Coroner Grahame
    CORONIAL LAW - Self-inflicted death, Safe Driving Policy, "urgent duty driving", use of lights and sirens
  • Recommended
    Decision of Deputy State Coroner Ryan
    CORONIAL LAW - natural causes death of a person in lawful custody - whether a 'not for resuscitation' directive was in place
  • Recommended
    Decision of Deputy State Coroner Stone
    CORONIAL LAW - mandatory inquest - critical incident - police pursuit - motor vehicle accident - motorcycle - alcohol - speed - inexperienced rider - NSW Police Force - Safe Driving Policy
  • Recommended
    Decision of Deputy State Coroner Forbes
    CORONIAL LAW - self-inflicted death - mental health - s.23 Coroners Act 2009 - mandatory inquest - death as a result of police operations - high risk to public safety
  • Recommended
    Decision of Deputy State Coroner Forbes
    CORONIAL LAW - Death in custody, death at Mount Druitt Police Station, cocaine toxicity, pre-existing heart condition, police attempts to obtain medication, implementation of police policy and procedure
  • Recommended
    Decision of State Coroner O'Sullivan
    CORONIAL LAW - death in custody, manner of death, chronic mental illness, adequacy of care
  • Recommended
    Decision of Deputy State Coroner Baptie
    CORONIAL LAW - Whether ingestion of fatal dose of pentobarbitone was deliberate, accidental or suspicious, referral to Unsolved Homicide Team
  • Recommended
    Decision of Deputy State Coroner Lee
    CORONIAL LAW - death in custody, cause and manner of death
  • Recommended
    Decision of Deputy State Coroner Forbes
    Coronial Law - natural causes death in custody
  • Recommended
    Decision of Deputy State Coroner Truscott
    Coronial law, cause and manner of death, natural, death in lawful custody
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Last updated:

18 Aug 2021

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