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 331 - 340 of 349 results

Inquest into the death of Joshua DUKE (334.9 KB,PDF File)

Decision of Deputy State Coroner Lee

CORONIAL LAW – death as a result of a police operation, critical incident, use of lethal force by police, Active Armed Offender, Tactical Options Model

Inquest into the death of Jacob Carr (340.8 KB,PDF File)

Decision of Deputy State Coroner Baptie

CORONIAL LAW – death in police operation – gunshot wound inflicted by police officer – appropriateness of actions of NSW Police Force officers – adequacy of ca

Inquest into the death of Michael Peachey (1.0 MB,PDF File)

Decision of Deputy State Coroner Ryan

CORONIAL LAW – Death as a result of police operation –– First Nations death – restraint of person in the prone position – was the response of police and ambula

Inquest into the death of Tateolena TAUAIFAGA (8.8 MB,PDF File)

Decision of Deputy State Coroner Ryan

CORONIAL LAW - death of a child in the course of a police pursuit; should the police's covert investigation of the driver have been allowed to continue; was th

Inquest into the deaths of Lars FALKHOLT, Vivian FALKHOLT, Jessica FALKHOLT and Annabelle FALKHOLT, and Craig WHITALL (514.1 KB,PDF File)

Decision of State Coroner O'Sullivan

CORONIAL LAW - traffic incident, five deaths, manner of driving, methadone dispensing, impact of various medications, adequacy of treatment in regional areas,

Inquest into the death of Todd McKenzie (1.6 MB,PDF File)

Decision of Deputy State Coroner Grahame

CORONIAL LAW – Death in police operation – gunshot wounds by police officer – appropriateness of actions of NSW Police Force officers – use of “breach and hold

Inquest into the death of Harold EDWARDS (a pseudonym) (512.9 KB,PDF File)

Decision of Deputy State Coroner Truscott

Coronial law, cause and manner of death, involuntary patient, suicide, nurses' failure to carry out observations, falsified Observation Charts sheets, time of

Inquest into the disappearance of CD (366.7 KB,PDF File)

Decision of Deputy State Coroner Kennedy

CORONIAL LAW – Missing person – manner of death – Police Investigation – Appropriateness and adequacy of police response – Appropriateness of legislative inter

Inquest into the death of Alan BUGDEN and Amaru BESTRIN (540.6 KB,PDF File)

Decision of Deputy State Coroner, Magistrate Harriet Grahame

CORONIAL LAW – death in hospital toilet, toilet cleaning and inspection systems, toilet alarm technologies, medically supervised injecting centre, naloxone

Inquest into the death of Jack KOKAUA (929.8 KB,PDF File)

Decision of State Coroner O'Sullivan

CORONIAL LAW - malignant ventricular arrhythmia - heart disease - mandatory inquest - positional asphyxia - use of a taser - use of force - supervision - NSW P

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