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 1100 results

Inquest into the death of Michael Anthony Guider (183.5 KB,PDF File)

Decision of Judge Hosking, Deputy State Coroner

Natural death in custody.

Inquest into the death of OVA (321.6 KB,PDF File)

Decision of Judge Hosking, Deputy State Coroner

Memory lapses during routine activities with fatal outcomes; the dangers of children being left in motor vehicles.

Inquest into the death of AN (322.3 KB,PDF File)

Decision of Judge Hosking, Deputy State Coroner

Memory lapses during routine activities with fatal outcomes; the dangers of children being left in motor vehicles.

Inquest into the death of Sydney Hawke (427.9 KB,PDF File)

Decision of Judge Lee, Deputy State Coroner

CORONIAL LAW – cause and manner of death, prioritisation of Computer Aided Dispatch (CAD) jobs, urgency of response, concern for welfare, Bankstown Police Area

Inquest into the death of Mr Edward Curic aka Grahovac (234.8 KB,PDF File)

Decision of Judge Baptie, Deputy State Coroner

CORONIAL LAW – Death in Custody, significant comorbidities, care and treatment whilst in custody

Inquest into the death of Dion White-Cotterell (509.1 KB,PDF File)

Decision of Judge Forbes

CORONIAL LAW – mental health-homicide-community mental health treatment – mental health policy and practice

Inquest into the death of Robert Bell-Williams (242.4 KB,PDF File)

Decision of Judge Grahame, Deputy State Coroner

CORONIAL LAW – Death in custody – Natural death – Metastatic papillary renal cell carcinoma -- No care and treatment issues identified

Inquest into the death of Meirion Thomas Morris (269.5 KB,PDF File)

Decision of Judge Pearce, Deputy State Coroner

CORONIAL LAW – death in Corrective Services NSW custody – natural causes – whether care and treatment appropriate and reasonable

Inquest into the death of Leonard John Warwick (457.4 KB,PDF File)

Decision of Judge Pearce, Deputy State Coroner

CORONIAL LAW – death in Corrective Services NSW custody - - natural causes - whether care and treatment concerns

Inquest into the death of PE (358.2 KB,PDF File)

Decision of Judge Grahame, Deputy State Coroner

CORONIAL LAW – Death in custody – Parklea Correctional Centre - self-inflicted death – hanging points in custody – provision of telephone calls in custody

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