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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Search results for ‘death in custody’

Showing results 151 - 160 of 346 results

Inquest into the death of Roger Rogerson (152.2 KB,PDF File)

Decision of Deputy State Coroner Ryan

CORONIAL LAW – death of person in custody - was custodial health care and treatment appropriate.

Inquest into the death of William BERGER (1.4 MB,PDF File)

Decision of Deputy State Coroner Lee

CORONIAL LAW - death in custody, cause and manner of death

Inquest into the death of Alfonso Ceniccola (372.5 KB,PDF File)

Decision of Deputy State Coroner Ryan

CORONIAL LAW – death in custody – care and treatment – requirements and frequency of physical observations – policies, procedures, and training applicable to s

Inquest into the death of Kerry-Ellen (Nikki) Knight (424.5 KB,PDF File)

Decision of Deputy State Coroner Grahame

CORONIAL LAW, death in custody, presence of hanging points in cells, Covid-19 quarantine, access to telephones, mental health and peer support programs, Recept

Inquest into the death of Peter Gretton (384.5 KB,PDF File)

Decision of Deputy State Coroner Lee

CORONIAL LAW – death in custody, cause and manner of death, metformin toxicity, renal impairment, care and treatment of inmate patient, vital sign observations

Inquest into the death of Brett Furner (233.1 KB,PDF File)

Decision of Deputy State Coroner Lee

CORONIAL LAW - death in New South Wales Police Force custody, cause and manner of death, medical assessment of person in custody, charge room and custody manag

Inquest into the death of Vicki Higgins (318.3 KB,PDF File)

Decision of Deputy State Coroner Forbes

CORONIAL LAW - death in custody, cause and manner of death, ischaemic bowel, death during COVID-19 outbreak at Junee Correctional Centre, adequacy of care, ade

Inquest into the death of David DUNGAY (1.0 MB,PDF File)

Decision of Deputy State Coroner Lee

Coronial law, death in custody, cause of death, prone restraint, positional asphyxia, Immediate Action Team, Mental Health Unit, Long Bay Hospital, de-escalati

Inquest into the death of Mahmoud ALLAM (8.7 MB,PDF File)

Decision of Deputy State Coroner Magistrate Derek Lee

CORONIAL LAW; death in custody; Parklea Correctional Centre; methicillin-resistant Staphylococcus aureus; observations; antibiotic therapy; Therapeutic Guideli

Inquest into the death of Adam Southwick (357.8 KB,PDF File)

Decision of Deputy State Coroner Forbes

Coronial law, death in custody, death in police station charge dock, positional asphyxia, methylamphetamine intoxication, implementation of police policy and p

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