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 1141 results

Inquest into the suspected death of missing person Adshaiyan Arunasalam (240.3 KB ,PDF File)

Decision of Judge Derek Lee, Deputy State Coroner

CORONIAL LAW – whether missing person now deceased, date and place of death, cause and manner of death, Little Bay Beach

Inquest into the death of Kate Manley (349.3 KB ,PDF File)

Decision of Judge Rebecca Hosking, Deputy State Coroner

Cause of death; pulmonary embolism; assessment of risk of venous thromboembolism in a psychiatric ward; impact of the delineation of treatment for physical and

Inquest into the disappearance and suspected death of Ms Revelle Sabine Balmain (1004.9 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 death of Marina Morel (477.1 KB ,PDF File)

Decision of Judge Derek Lee, Deputy State Coroner

CORONIAL LAW – manner of death, injury in racehorses, stress fracture, ligamentous injury, ruptured oblique sesamoidean ligament, injury management prior to tr

Inquest into the death of Helen Frances Honey (671.7 KB ,PDF File)

Decision of Judge Stuart Devine, Deputy State Coroner

CORONIAL LAW - involuntary patient - Mental Health Older Persons Unit - abdominal aortic aneurysm - adequacy of Rapid Response Team and Emergency Department re

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 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

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