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 1154 results

Inquest into the death of Lasonya Sheree Dutton (908.8 KB ,PDF File)

Decision of Judge Teresa O’Sullivan, State Coroner of New South Wales

CORONIAL LAW – First Nations Death – police investigation – Barkindji woman – intimate partner violence – suicide or homicide – adequacy of support services in

Inquest into the death of Benjamin Cleveland (458.5 KB ,PDF File)

Decision of Judge Derek Lee, Deputy State Coroner

CORONIAL LAW – death as a result of a New South Wales Police Force operation, critical incident, use of lethal force by police, discharge of firearm, deploymen

Inquest into the death of John Denham (752.5 KB ,PDF File)

Decision of Judge Derek Lee, Deputy State Coroner

CORONIAL LAW - death in custody, cause and manner of death

Inquest into the death of Geoffrey Croft (304.1 KB ,PDF File)

Decision of Judge Derek Lee, Deputy State Coroner

CORONIAL LAW – death in custody, manner of death, inmate patient with history of skin cancer, skin cancer checks in custody, diagnosis of melanoma, timeliness

Inquest into the death of JB (608.2 KB ,PDF File)

Decision of Judge Carmel Forbes, Deputy State Coroner

CORONIAL LAW – infant death – 8 weeks old - unascertained cause of death - unexplained injuries – insufficient evidence to make a finding on manner or cause of

Inquest into the death of Andrew Fergusson (316.2 KB ,PDF File)

Decision of Judge Rebecca Hosking, Deputy State Coroner

CORONIAL LAW - Time of death; cause of death, manner of death, delayed treatment.

Inquest into the death of Alexander Gavranic (355.5 KB ,PDF File)

Decision of Judge Derek Lee, Deputy State Coroner

CORONIAL LAW – death in custody, manner of death, intentionally self-inflicted death, Junee Correctional Centre, access by inmates to mental healthcare service

Inquest into the disappearance of Hyungwoo PARK (246.9 KB ,PDF File)

Decision of Deputy State Coroner, Judge David O’Neil

CORONIAL LAW – missing person—police investigation—limited searches due to late report to police—sign of life checks

Inquest into the death of Leslie Andrew Nash (1.1 MB ,PDF File)

Decision of Judge Harriet Grahame, Deputy State Coroner

CORONIAL LAW – Gunshot wound to the head, “manner of death”, open finding

Inquest into the death of Ivan Spudic (381.4 KB ,PDF File)

Decision of Judge David O'Neil, Deputy State Coroner

CORONIAL LAW unascertained manner and cause, unreliable admissions made by partner

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