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 41 - 50 of 68 results

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

Inquest into the death of Corey Kramer (217.9 KB,PDF File)

Decision of Deputy State Coroner Grahame

Coronial law, Death in Police Operation, Safe Driving Policy, unregistered mini-motorcycle

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 death of Cecilia Devine (263.4 KB,PDF File)

Decision of Deputy State Coroner Ryan

CORONIAL LAW – death of a person reported missing in Katoomba area – can cause of death be established? Can manner of death be established?

Inquest into the death of A (264.7 KB,PDF File)

Decision of Deputy State Coroner Ryan

CORONIAL LAW - death by hanging of a person in custody - was mental health care of an appropriate standard - should a mandatory notification have been made - a

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

Decision of Deputy State Coroner Freund

Coronial law, suicide, adolescent mental health, expert evidence, application of section 20R of the Health Administration Act 1982, meaning of ?proceedings?

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 Tyson MATTHEWS (411.2 KB,PDF File)

Decision of Deputy State Coroner Stone

Coronial law, Self-inflicted death, involuntary admission considerations, risk assessment and suicide predictabilit, the use of Paliperidone, level of care in

Inquest into the death of R N (525.3 KB,PDF File)

Decision of Deputy State Coroner Truscott

Coronial law, Cause and manner of death, death in custody, basic English, interpreter Amber Laurel Corrections Inmate Identification and Observation, Parklea C

Inquest into the death of Manjit SINGH (300.0 KB,PDF File)

Decision of Deputy State Coroner Dillon

Coronial law, cause and manner of death, complications following removal of lung destroyed by active tuberculosis, 457 visa holder, Health undertakings by visa

Last updated:

02 May 2025