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 131 - 140 of 176 results

Inquest into the death of Baby Q (1.2 MB,PDF File)

Decision of Deputy State Coroner Grahame

CORONIAL LAW – manner and cause of death – mental illness – family violence and neglect – family known to the NSW Department of Communities and Justice and the

Inquest into the death of George Campbell (413.3 KB,PDF File)

Decision of State Coroner O'Sullivan

CORONIAL LAW – volatile substance use – First Nations death – death of a child in care

Inquest into the death of Andrew Stark (345.1 KB,PDF File)

Decision of Deputy State Coroner Kennedy

CORONIAL LAW – police pursuit, death in police operation, decision to initiate police pursuit, relevance of seriousness of offending, conduct of driving, Safe

Inquest into the death of Ian Turner (3.6 MB,PDF File)

Decision of Deputy State Coroner Grahame

CORONIAL LAW – intentional self-harm – multi-drug toxicity – Post Traumatic Stress Disorder (PTSD) – combat-related PTSD – mental health supports for ADF membe

Inquest into the disappearance and suspected death of Bruce Robinson (247.0 KB,PDF File)

Decision of Deputy State Coroner Lee

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

Inquiry into the fire at Yankees Gap Road Bemboka (535.0 KB,PDF File)

Decision of Deputy State Coroner Baptie

CORONIAL LAW – general inquiry, cause, origin and circumstances - hazard reduction burn on private property – Bush Fire Hazard Reduction Certificates – whether

Inquest into the death of Reuben Button (461.7 KB,PDF File)

Decision of Deputy State Coroner Grahame

CORONIAL LAW – Death in custody; Death of ATSI man; ischaemic heart disease; Buvidal; Aboriginal Health Workers at Junee Correctional Centre

Inquest into the death of Brandon Rich (483.1 KB,PDF File)

Decision of Deputy State Coroner Grahame

CORONIAL LAW – Death in a police operation; adequacy of response to domestic violence incident; direction and detention pursuant to s 89A of the Crimes (Domest

Inquest into the death of ML (1.3 MB,PDF File)

Decision of Deputy State Coroner Baptie

CORONIAL LAW – Death of 17 month old First Nations child - family known to DCJ - staffing and resources at DCJ - domestic violence - need for multiagency coope

Inquest into the disappearance and suspected death of Allan Beeby (951.4 KB,PDF File)

Decision of Deputy State Coroner Kennedy

CORONIAL LAW – maritime safety, safety standards for recreational vessels, certification of recreational vessels, product warnings for recreational vessels, co

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