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 11 - 20 of 21 results

Inquest into the disappearance and suspected death of Raymond Speechley (600.1 KB,PDF File)

Decision of Deputy State Coroner Truscott

Coronial law, missing person, aged care secure unit admissions and assessments, police search, survivability

Inquest into the death of Timothy Garner (310.9 KB,PDF File)

Decision of Deputy State Coroner Lee

CORONIAL LAW – death in custody, cause and manner of death, risk assessment, psychiatric assessment, mental health review, self-inflicted death, cell architect

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 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 Dr Beta Vandeville (643.6 KB,PDF File)

Decision of Deputy State Coroner Lee

Coronial law, propofol, fentanyl, midazolam, restricted substances, anaesthetist, Royal Australian College of Obstetricians and Gynaecologists

Inquest into the death of Rebecca Maher (707.9 KB,PDF File)

Decision of Acting State Coroner O'Sullivan

Coronial law, Aboriginal death in police custody, intoxicated persons, Custody Notification System ('CNS'), Part 16 Law Enforcement (Powers and Responsibilitie

Inquest into the death of RP and DJ (990.3 KB,PDF File)

Decision of Deputy State Coroner Grahame

Coronial law, death in custody, Health Problem Notification Form ('HPNF'), treatment of acute mental illness in custody, and mental health.

Inquest into the death of Robin MacDonald, Colin Webb and Brian Wilson (Dungog Floods) (196.6 KB,PDF File)

Decision of Deputy State Coroner O'Sullivan

Coronial law, cause and manner of death, drowning, flood, flood plans.

Inquest into the death of Carley METCALFE (624.4 KB,PDF File)

Decision of State Coroner O'Sullivan

CORONIAL LAW - cause of death; search for missing person in Mullumbimby; adequacy of police investigation; Missing Persons Standard Operating Procedures; care

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

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