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 141 - 150 of 176 results

Inquest into the death of unidentified human remains found at Sutherland (260.3 KB,PDF File)

Decision of Deputy State Coroner Grahame

CORONIAL LAW – identity, unidentified remains, forensic investigative genetic genealogy

Inquest into the death of Vicki Higgins (318.3 KB,PDF File)

Decision of Deputy State Coroner Forbes

CORONIAL LAW - death in custody, cause and manner of death, ischaemic bowel, death during COVID-19 outbreak at Junee Correctional Centre, adequacy of care, ade

Inquest into the death of David Freeman (2.9 MB,PDF File)

Decision of Deputy State Coroner Baptie

CORONIAL LAW – Respiratory arrest, bronchial asthma, known sensitivity to non-steroidal anti-inflammatory drugs (NSAIDs), non-allergic hypersensitivity reactio

Inquest into the death of Chi Khanh Huynh (584.3 KB,PDF File)

Decision of Deputy State Coroner Baptie

CORONIAL LAW – undetermined cause of death – significant blunt head trauma suffered from an assault inflicted by known persons – effects of methamphetamine and

Inquest into the death of Daniel Munro Lewis Turnbull (550.5 KB,PDF File)

Decision of Deputy State Coroner Kennedy

CORONIAL LAW – Correctional inmate, failure to observe signs of illness, natural causes, need to deliver treatment, 24 hour surveillance cell, RIT, mental illn

Inquest into the death of Ziad Hamawy (474.0 KB,PDF File)

Decision of Deputy State Coroner Grahame

CORONIAL LAW – manner of death – involuntary patient – consideration of medical care, mental health care, and treatment provided by Hospital – assessments unde

Inquest into the death of Michael Peachey (1.0 MB,PDF File)

Decision of Deputy State Coroner Ryan

CORONIAL LAW – Death as a result of police operation –– First Nations death – restraint of person in the prone position – was the response of police and ambula

Inquest into the death of Brandon Clark (378.4 KB,PDF File)

Decision of Deputy State Coroner Kennedy

CORONIAL LAW – Death in police operation, stop and search, Section 21 LEPRA, exercise of power to arrest, Section 77 Bail Act 2013, breach of bail, decision to

Inquest into the death of Roy Roberts (518.1 KB,PDF File)

Decision of Deputy State Coroner Lee

CORONIAL LAW – cause and manner of death, diagnosis of primary epilepsy, seizure-like episode, methadone toxicity, opioid substitution therapy, unprescribed dr

Inquest into the death of Darren Higgins (404.2 KB,PDF File)

Decision of Deputy State Coroner Kennedy

Coronial law, Cause and manner of death, missing persons, cross border police communication in missing persons, interstate search for missing persons, mental h

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