Coroners Court New South Wales

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 1-10 of 67 results

  • Recommended
    Decision of State Coroner O'Sullivan
    CORONIAL LAW – Missing Person, Mental Health
  • Recommended
    Decision of Deputy State Coroner Ryan
    CORONIAL LAW – Death as a result of police operation –– First Nations death – restraint of person in the prone position – was the response of police and ambulance officers appropriate, and consistent with policy and training –
  • Recommended
    Decision of Deputy State Coroner Grahame
    CORONIAL LAW – death in a police operation; police shooting; self-inflicted death; actions to provoke police to shoot; PACER program; police response to persons experiencing mental health crises
  • Recommended
    Decision of Deputy State Coroner O'Neil
    CORONIAL LAW - Missing person, search, and whether missing person is now deceased.
  • Recommended
    Decision of Deputy State Coroner Baptie
    CORONIAL LAW – undetermined cause of death – significant blunt head trauma suffered from an assault inflicted by known persons – effects of methamphetamine and opiates – significant co-morbidities, being coronary atherosclerosis and
  • Recommended
    Decision of Deputy State Coroner Baptie
    CORONIAL LAW – general inquiry, cause, origin and circumstances - hazard reduction burn on private property – Bush Fire Hazard Reduction Certificates – whether burn appropriately managed prior to breach of containment
  • Recommended
    Decision of Deputy State Coroner Forbes
    CORONIAL LAW - cause of death non accidental blunt force head injury- suspicious circumstances-open finding on manner of death-recommendation that NSW Police Unsolved Homicide Unit further investigate the death
  • Recommended
    Decision of Deputy State Coroner Lee
    CORONIAL LAW – death in New South Wales Police Force custody, cause and manner of death, Critical Incident Investigation, cocaine and alcohol toxicity, seizure activity, resuscitation efforts
  • Recommended
    Decision of Deputy State Coroner Pearce
    CORONIAL LAW – death of 4-month-old baby - child and siblings known to Department of Communities and Justice - cause and manner of death
  • Recommended
    Decision of Deputy State Coroner Pearce
    CORONIAL LAW – death in Corrective Services NSW custody – self-inflicted intentional injury– whether mental health care and treatment concerns
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Last updated:

23 Oct 2024

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