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 1 - 10 of 19 results

Inquest into the death of HB (387.8 KB,PDF File)

Decision of Deputy State Coroner Forbes

CORONIAL LAW - death of a twenty-month-old girl from multiple injuries that were inflicted by a known person - two presentations to hospital with suspicious in

Inquest into the death of ML (1.3 MB,PDF File)

Decision of Deputy State Coroner Baptie

CORONIAL LAW – Death of 17 month old First Nations child - family known to DCJ - staffing and resources at DCJ - domestic violence - need for multiagency coope

Inquest into the death of BG (449.2 KB,PDF File)

Decision of Deputy State Coroner Pearce

CORONIAL LAW – death of 7-month-old baby – family known to Department of Communities and Justice – cause and manner of death

Inquest into the death of DB (847.0 KB,PDF File)

Decision of Deputy State Coroner Grahame

CORONIAL LAW - infant death, homicide, non-accidental injuries, FACS, Family and Community Services, DCJ, Department of Communities and Justice, risk of seriou

Inquest into the death of J (386.7 KB,PDF File)

Decision of Deputy State Coroner Ryan

Coronial law, death of baby aged 4 months, sleeping in pram, cause of death, manner of death, was response of NSW Department of Family and Community Services a

Inquest into the death of Z (708.5 KB,PDF File)

Decision of Deputy State Coroner Grahame

CORONIAL LAW - Death of a child, Death after multiple notifications of Risk of Significant Harm (ROSH), unsolved homicide, Weekly Allocation Meeting (WAM), 'co

Inquest into the death of NA (149.0 KB,PDF File)

Decision of Deputy State Coroner Grahame

Coronial law, home birth without medical assistance, manner and cause of death

Inquest into the death of Baby Q (1.2 MB,PDF File)

Decision of Deputy State Coroner Grahame

CORONIAL LAW – manner and cause of death – mental illness – family violence and neglect – family known to the NSW Department of Communities and Justice and the

Inquest into the death of SG (675.3 KB,PDF File)

Decision of Deputy State Coroner Kennedy

CORONIAL LAW – death of Aboriginal child; intentionally self-inflicted; protective care and treatment; recommendations made

Inquest into the death of Levai (406.5 KB,PDF File)

Decision of Deputy State Coroner Grahame

Coronial law, manner and cause of death, death of child, multiple reports to the Department of Family and Community Services (FACS) and the NSW Police Force, w

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