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 1134 results

Inquest into the death of Raeputa Tangatapoto (360.2 KB,PDF File)

Decision of Judge Derek Lee, Deputy State Coroner

CORONIAL LAW – death in custody, cause and manner of death, detainment of patient at Forensic Hospital

Inquest into the death of SMS (313.1 KB,PDF File)

Decision of Judge Derek Lee, Deputy State Coroner

CORONIAL LAW – cause and manner of death, unascertained cause of death

Inquest into the death of Amanawel Ayai (460.0 KB,PDF File)

Decision of Judge Derek Lee, Deputy State Coroner

CORONIAL LAW – death in custody, cause and manner of death, inmate patient with previous abdominal complaints and abdominal surgery, small bowel obstruction, c

Inquest into the disappearance and suspected death of Ms Revelle Sabine Balmain (1006.9 KB,PDF File)

Decision of Judge Joan Baptie, Deputy State Coroner

CORONIAL LAW – long term missing person – whether missing person is deceased – whether findings with regards to identity, date, place, cause, and manner of dea

Inquest into the disappearance and suspected death of Geoffrey James Buchanan (141.1 KB,PDF File)

Decision of Judge Doug Dick OAM, Coroner

missing person

Inquest into the death of Joshua Scheers (444.0 KB,PDF File)

Decision of Judge Derek Lee, Deputy State Coroner

CORONIAL LAW – New South Wales Police Force pursuit, Safe Driving Policy, commencement and termination of pursuit, need to apprehend alleged offender, risk to

Inquest into the death of John Aramathuparambil John (732.3 KB,PDF File)

Decision of Judge Kasey Pearce, Deputy State Coroner

CORONIAL LAW – unascertained cause of death – recent release from police custody – cause and manner of death – whether police cared for person in custody reaso

Inquest into the death of Wen Liang Zhang (511.0 KB,PDF File)

Decision of Judge Kasey 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 BS (1.2 MB,PDF File)

Decision of Judge Rebecca Hosking, Deputy State Coroner

CORONIAL LAW – Mandatory inquest pursuant to s 23(1)(d)(ii) of the Coroners Act 2009 (NSW) – Death in custody; intentional self-harm following adverse court ou

Inquest into the death of CG (1.5 MB,PDF File)

Decision of Judge David O'Neil, Deputy State Coroner

CORONIAL LAW — Parklea Correctional Centre - St Vincents Correctional Health communication between correctional officers and St Vincent's Correctional Health a

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