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 345 results

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 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 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 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

Inquest into the suspected death of Florabella Natalia Marion Remakel, aka Marion Barter (967.0 KB,PDF File)

Decision of State Coroner O'Sullivan

CORONIAL LAW – long term missing person – whether missing person is deceased – whether findings with regards to identity, date, place, cause, and manner of dea

Inquest into the death of Gordon Copeland (419.4 KB,PDF File)

Decision of State Coroner O'Sullivan

CORONIAL LAW - death by drowning, First Nations death, Gomeroi man, police search

Inquests and Inquiries into the 2019/2020 NSW Bushfire Season - Volume 2 (6.0 MB,PDF File)

Decision of State Coroner O'Sullivan

Inquests and Inquiries into the 2019/2020 NSW Bushfire Season - Volume 2

Inquest into the death of Daniel KING (615.8 KB,PDF File)

Decision of Deputy State Coroner Lee

CORONIAL LAW - death as a result of a police operation, mandatory inquest, self-inflicted death, critical incident, suspect provoked shooting, use of lethal fo

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