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 1079 results

Inquest into the death of Lifa Faafete (227.4 KB,PDF File)

Decision of Deputy State Coroner Forbes

CORONIAL LAW – death in custody-natural causes-use of interpreter in care and treatment

Inquest into the disappearance and suspected death of Gavin Cheng (273.5 KB,PDF File)

Decision of Deputy State Coroner Forbes

CORONIAL LAW – missing person – whether missing person now deceased – manner and cause of death

Inquest into the death of Jesse Riley (383.9 KB,PDF File)

Decision of Deputy State Coroner Hosking

S 23 of the Coroners Act - death in police operation; cause and manner of death; police and paramedic use of physical restraints, risks of positional asphyxia,

Inquest into the death of Ronen Veinstein (319.3 KB,PDF File)

Decision of Deputy State Coroner Baptie

CORONIAL LAW – Missing person, suspicious circumstances, referral to the Unsolved Homicide Squad

Inquest into the death of Phillip Walton (989.4 KB,PDF File)

Decision of Deputy State Coroner Pearce

CORONIAL LAW – death in police custody – prone restraint – whether the response of police and ambulance officers was appropriate and consistent with policy and

Inquest into the death of JM (458.3 KB,PDF File)

Decision of Deputy State Coroner Hosking

CORONIAL LAW – Death as a result of police operations; NSW Police Force application of policies and procedures in relation to motor vehicle pursuits. Section 2

Inquest into the death of Eve Brown (566.1 KB,PDF File)

Decision of Deputy State Coroner Grahame

CORONIAL LAW - First Nations - medical - regional health – delayed transfer - Lightning Ridge Multi-Purpose Health Centre - hypovolaemic shock - splenic haemat

Inquest into the death of Gia Lam (308.1 KB,PDF File)

Decision of Deputy State Coroner Hosking

Midwifery Support Program (MSP); early discharge of mothers and babies; sepsis; undiagnosed UTI; use of interpreters.

Inquest into the death of Serena Lee (447.9 KB,PDF File)

Decision of Deputy State Coroner Hosking

CORONIAL LAW - Midwifery Support Program; early discharge of babies; consultation as between doctors and midwives on neonatal wards; hyperglycaemia; intrauteri

Inquest into the death of Evander Tuala (425.9 KB,PDF File)

Decision of Deputy State Coroner Forbes

CORONIAL LAW – manner of death-death during an affray-can a known person be identified as causing the death

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