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.

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Showing results 101 - 110 of 176 results

Inquest into the disappearance and suspected death of Nadire Sensoy (226.1 KB,PDF File)

Decision of Deputy State Coroner Forbes

CORONIAL LAW – missing woman – suspicious circumstances – charges laid by Police

Inquest into the death of Peter Gretton (384.5 KB,PDF File)

Decision of Deputy State Coroner Lee

CORONIAL LAW – death in custody, cause and manner of death, metformin toxicity, renal impairment, care and treatment of inmate patient, vital sign observations

Inquest into the death of Andrew Stubbs (369.6 KB,PDF File)

Decision of Deputy State Coroner O'Neil

CORONIAL LAW – monitoring of blood lithium levels by General Practitioner – lithium toxicity – decision to commence Intermittent Haemodialysis – complications

Inquest into the death of Jet Gallagher (301.7 KB,PDF File)

Decision of Deputy State Coroner Hosking

CORONIAL LAW – intentional self-harm – NSW Police and NSW Ambulance powers pursuant to ss 20 and 22 of the Mental Health Act 2007 – extent to which information

Inquest into the death of Jyedon Pollard (785.6 KB,PDF File)

Decision of Deputy State Coroner Forbes

CORONIAL LAW - Dog attack of a two-year-old boy - Examination of the Companion Animals Act 1998 regulatory regime - Recommendations for regulatory changes

Inquest into the death of Finlay Browne (725.9 KB,PDF File)

Decision of Deputy State Coroner Kennedy

CORONIAL LAW – mid-gut volvulus and bowel obstruction, ischaemic bowel, unconscious bias, consideration of disability and treatment in hospital, Bathurst Base

Inquest into the disappearance and suspected death of Peter Claux (412.3 KB,PDF File)

Decision of Deputy State Coroner O'Neil

CORONIAL LAW - Missing person, search, and whether missing person is now deceased.

Inquest into the death of Azhar Abdul (241.9 KB,PDF File)

Decision of Deputy State Coroner Kennedy

CORONIAL LAW – Cause and manner of death, death in custody, intentional self-inflicted injury, care and treatment, mental health considerations, concerns of th

Inquest into the death of RD (324.5 KB,PDF File)

Decision of Magistrate McLaughlin, Coroner

CORONIAL LAW – Group A Streptococcus pneumonia with sepsis – NSW Ambulance protocols for transportation when vital signs outside the reference range/outside th

Inquest into the death of Anthony Gilbert (442.2 KB,PDF File)

Decision of Deputy State Coroner Ryan

CORONIAL LAW – death of a man from acute alcohol intoxication – whether police should have detained him as an intoxicated person – whether police acted appropr

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