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 176 results

Inquest into the death of Courtney Topic (494.3 KB,PDF File)

Decision of Deputy State Coroner Ryan

Coronial law, death as a result of a police shooting, high risk mental health related incident, whether responding police breached policies and procedures, whe

Inquest into the death of Emiliana OBUSAN (345.4 KB,PDF File)

Decision of Deputy State Coroner Lee

CORONIAL LAW - cause and manner of death - endotracheal tube - unrecognised oesophageal intubation - tracheal intubation - provision of anaesthesia care to pae

Inquest into the death of Glen Russell (302.1 KB,PDF File)

Decision of Deputy State Coroner Stone

Coronial law, death in custody; asphyxia; adequacy of intake screening and assessment; workload and staffing; recommencing medication prescribed in the communi

Inquest into the death of Sebastien YEOMANS (132.2 KB,PDF File)

Decision of Coroner Stafford

Coronial law, cause and manner of death, swimming pool regulations, pool not fenced, consideration of recommendations

Inquest into the death of Jean-Louis Langlois (315.2 KB,PDF File)

Decision of Deputy State Coroner Lee

CORONIAL LAW – cause and manner of death, unidentified human remains, New South Wales Police Force Fingerprint Operations, fingerprint impressions and examinat

Inquest into the death of Matthew John Leveson (497.7 KB,PDF File)

Decision of Deputy State CoronerTruscott

Coronial law, Suspended inquest, acquittal in criminal proceedings, resumed inquest, missing person, section 61 certificate, indemnity from prosecution for per

Inquest into the death of Brandon Clark (378.4 KB,PDF File)

Decision of Deputy State Coroner Kennedy

CORONIAL LAW – Death in police operation, stop and search, Section 21 LEPRA, exercise of power to arrest, Section 77 Bail Act 2013, breach of bail, decision to

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

Decision of Deputy State Coroner Grahame

CORONIAL LAW – death in custody – Parklea Correctional Centre – stab wound to the chest – use of gaol-made weapon – 18 inmates in holding cell – failure to sea

Inquest into the death of Myley Maxwell (422.2 KB,PDF File)

Decision of Deputy State Coroner Ryan

Coronial law, death of a child, adult sized quadbike operated by children, use of quadbikes without helmets, whether further regulation required, previous coro

Inquest into the death of SS (151.9 KB,PDF File)

Decision of Deputy State Coroner Lee

Coronial law, care and treatment at Gosford Hospital, communication between primary care and physicians

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