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 1122 results

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 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

Inquest into the death of Fredrick Elrezz (1.6 MB,PDF File)

Decision of Judge David O'Neil, Deputy State Coroner

CORONIAL LAW — responsibilities of police officers to whom suicidal thoughts are reported by person in custody, relaying of information from NSW Police to Corr

Inquest into the death of Narayan Rodwell (875.5 KB,PDF File)

Decision of Judge David O'Neil, Deputy State Coroner

CORONIAL LAW - police pursuit-methamphetamine-mental healthtyre deflation devices

Inquest into the suspected death of Ram Khadka (738.8 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, New South Wales Police Force Missing Person Standard Op

Inquest into the deaths of LF, Merryn Ward and Shao (837.4 KB,PDF File)

Decision of Judge Teresa O’Sullivan, State Coroner

Self-harm, suicide, Royal Prince Alfred Hospital, involuntary detention, voluntary detention, Mental Health Act 2007

Inquest into the death of Alan Frederick Cornish (159.4 KB,PDF File)

Decision of Judge Rebecca Hosking, Deputy State Coroner

Natural death in custody.

Inquest into the Death of Simon Myles Mackay (674.5 KB,PDF File)

Decision of Judge Kasey Pearce, Deputy State Coroner

CORONIAL LAW – involuntary psychiatric patient – hanging – death intentionally self-inflicted

Inquest into the death of Patience Kuzmins (375.5 KB,PDF File)

Decision of Judge Derek Lee, Deputy State Coroner

CORONIAL LAW – death in custody, cause and manner of death, Custodial Operations Policy & Procedures, searching inmates, reception procedures, body scanning, i

Inquest into the death of Mark Anthony Haines (1.5 MB,PDF File)

Decision of Judge Harriet Grahame, Deputy State Coroner

CORONIAL LAW – 1988 death of First Nations teenager – suspicious circumstances – subdural haemorrhage – inadequate early investigation – racism and unconscious

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