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 31 - 40 of 69 results

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 death of Phillip Boney (304.2 KB,PDF File)

Decision of Deputy State Coroner Ryan

CORONIAL LAW – mandatory inquest - death of a First Nations man in custody - was custodial mental health care adequate – were cultural needs adequately met – w

Inquest into the death of MJ (1.1 MB,PDF File)

Decision of Deputy State Coroner Forbes

CORONIAL LAW- Dog attack of a five-week-old baby- Examination of the Companion Animals Act 1998 regulatory regime – Recommendations for regulatory changes

Inquest into the death of Naomi Williams (739.6 KB,PDF File)

Decision of Deputy State Coroner Grahame

Coronial law, septicaemia, secondary to Neisseria meningitides infection, nurse directed discharge, implicit racial bias in health care systems, Aboriginal Hea

Inquest into the disappearance and suspected death of Melissa CADDICK (592.2 KB,PDF File)

Decision of Deputy State Coroner E Ryan

CORONIAL LAW - disappearance of a person - is the person deceased - if so can cause and manner of death be established - was the person suffering a psychiatric

Inquest into the death of ZH (268.1 KB,PDF File)

Decision of Deputy State Coroner Huntsman

CORONIAL LAW, death in custody

Inquest into the death of William John Torrens (274.2 KB,PDF File)

Decision of Deputy State Coroner Grahame

CORONIAL LAW – missing person, LANDSAR search, risks for aged care residents with dementia

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 Ms K (464.4 KB,PDF File)

Decision of Deputy State Coroner Ryan

CORONIAL LAW - mandatory inquest, death of a person by homicide, coercive control, was response of NSW Police Force to reports of domestic and family violence

Inquest into the death of Thomas HUNT (414.3 KB,PDF File)

Decision of State Coroner O'Sullivan

Coronial law - missing person investigation; Missing Persons Standard Operating Procedures; interpretation of s287 of Telecommunications Act 1997; attendance b

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