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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Search results for ‘2023’

Showing results 91 - 100 of 176 results

Inquests and Inquiries into the 2019/2020 NSW Bushfire Season - Volume 1 (7.5 MB,PDF File)

Decision of State Coroner O'Sullivan

Inquests and Inquiries into the 2019/2020 NSW Bushfire Season - Volume 1

Inquest into the death of Matthew Grieve (229.9 KB,PDF File)

Decision of Deputy State Coroner O'Neil

CORONIAL LAW – death in custody, hanging, health problem notification forms, custodial mental health pathways

Inquest into the death of GS (492.4 KB,PDF File)

Decision of Deputy State Coroner Kennedy

CORONIAL LAW – Cause and manner of death, death in custody, mental health, Justice Health waitlists, PAS, complying with patient waitlist timeframes, access to

Inquest into the disappearance and suspected death of Annemarie Jeffery (689.6 KB,PDF File)

Decision of Deputy State Coroner Grahame

Coronial Law, missing person, LANDSAR search

Inquest into the disappearance and suspected death of Heather Scott (183.8 KB,PDF File)

Decision of State Coroner O'Sullivan

CORONIAL LAW – Cause and manner of death Natural disaster; floods; extreme weather; climate; Landslide; landslip Missing person

Inquest into the death of AX (729.5 KB,PDF File)

Decision of Deputy State Coroner Lee

CORONIAL LAW – cause and manner of death, hypertensive heart disease, coronary artery disease, euthanasia, potential homicide, forensic investigation, Crime Sc

Inquest into the death of Simon Miles (291.3 KB,PDF File)

Decision of Deputy State Coroner Ryan

CORONIAL LAW – death of a First Nations man while on a Compulsory Drug Treatment Order - whether his release to Stage 2.5 of the Community Drug Treatment Progr

Inquest into the death of Benjamin Woodhouse (245.2 KB,PDF File)

Decision of Deputy State Coroner O'Neil

CORONIAL LAW - mental health, involuntary patient, escorted leave, conditions of leave

Inquest into the disappearance and suspected death of Ruben Gardiol (226.7 KB,PDF File)

Decision of Deputy State Coroner O'Neil

CORONIAL LAW – Missing person, search

Inquest into the death of Sean Montgomery (587.6 KB,PDF File)

Decision of Deputy State Coroner O'Neil

CORONIAL LAW – elective surgery, post operative care, Private Hospital, no take back policy, transfer to Public Hospital, delay in return to surgery

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