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 71 - 80 of 90 results

Inquest into the deaths of Donald EVELEIGH, Angela STACKMAN, FW, ML, (415.6 KB,PDF File)

Decision of Deputy State Coroner Freund

Coronial law, cause and manner of death, quad bike accident, public health and safety, Australian safety standards, training and licensing, crush protection de

Inquest into the deaths at Newmarch House (2.5 MB,PDF File)

Decision of Deputy State Coroner Lee

CORONIAL LAW – cause and manner of death, COVID-19 pandemic, residential aged care facility, preparedness for infectious disease outbreak, surge workforce, Per

Inquest into the death of Michael FARRELL (1.4 MB,PDF File)

Decision of Deputy State Coroner Grahame

CORONIAL LAW - Public Interest Immunity Claim - Non Publication Orders

Inquest into the death of Olivia INGLIS (1.2 MB,PDF File)

Decision of Deputy State Coroner Lee

Coronial law, Equestrian Australia, FEI, eventing, cross country test, Scone Horse Trials, Sydney International Horse Trials, course design, riders representat

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 death of Todd McKenzie (1.6 MB,PDF File)

Decision of Deputy State Coroner Grahame

CORONIAL LAW – Death in police operation – gunshot wounds by police officer – appropriateness of actions of NSW Police Force officers – use of “breach and hold

Inquest into the death of Kelvin Forrest (403.8 KB,PDF File)

Decision of Deputy State Coroner Grahame

CORONIAL LAW - Accidental fall from height; wandering in a patient with behavioural and psychological symptoms of dementia; 'social admission' to hospital; Pro

Inquest into the death of A J (455.8 KB,PDF File)

Decision of Deputy State Coroner Stone

CORONIAL LAW - manner of death, s23 mandatory inquest, death in the course of a police operation, suicide intervention, whether conduct of responding police ad

Inquiry into the fire at Reedy Swamp Tarraganda Bega/Tathra (1.3 MB,PDF File)

Decision of Deputy State Coroner Truscott

CORONIAL LAW - Fire General Inquiry - Cause and Origin - Electrical Infrastructure-Vegetation Management - Fuel Load Management - Emergency Response Management

Inquest into the death of Xavier BURKE (520.0 KB,PDF File)

Decision of Deputy State Coroner Lee

Coronial law, police pursuit, Safe Driving Policy, role of involved police, whether need to apprehend outweighed by risk to community, use of non-police vehicl

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