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 52 results

Inquest into the death of William Haines (311.4 KB,PDF File)

Decision of Deputy State Coroner Forbes

Coronial law, natural causes death in custody, cause of death, pulmonary thromboembolus, care and treatment by Hunter New England Local Health District and Jus

Inquest into the death of Anthony Barrett (407.3 KB,PDF File)

Decision of Deputy State Coroner Lee

Coronial law, care and treatment, Fairfield Hospital, left total knee replacement surgery, superior mesenteric artery tent, coeliac artery stent, vascular cons

Inquest into the death of Sandra Cree (824.4 KB,PDF File)

Decision of Deputy State Coroner Lee

Coronial law, ruptured abdominal aortic aneurysm, Lightning Ridge Multi-Purpose Service, remote and rural medical facilities, password access to health care re

Inquest into the death of Stephen Kline (712.5 KB,PDF File)

Decision of Deputy State Coroner Lee

Coronial law, taser deployment, critical incident, tactical options model, venous thromboembolism risk assessment, pharmacological prophylaxis, heparin, pulmon

Inquest into the death of Matthew Mitchell (224.7 KB,PDF File)

Decision of Deputy State Coroner Barry

Coronial law, Blunt Force Head Injury , Motor vehicle collision, unknown Driver

Inquest into the death of Warren Simon (495.5 KB,PDF File)

Decision of Deputy State Coroner Pearce

CORONIAL LAW – death as a result of police operation – First Nations man – appropriateness of police response

Inquest into the death of Paigh Bartholomew (384.5 KB,PDF File)

Decision of Deputy State Coroner Barry

Coronial law, death in custody, mixed drug toxicity, drugs illegally delivered to correctional centre

Inquest into the death of unidentified baby, Lily Grace (250.7 KB,PDF File)

Decision of Deputy State Coroner Dillon

Coronial law, whether child stillborn, open findings in respect of identity, date and place of death, cause and manner of death, recommendations: 'baby boxes',

Inquest into the death of O A (379.5 KB,PDF File)

Decision of Deputy State Coroner Kennedy

CORONIAL LAW – death as a result of fall from height – police operation – whether police response was adequate and appropriate – whether care and treatment pro

Inquest into the death of M G (350.4 KB,PDF File)

Decision of Deputy State Coroner Kennedy

CORONIAL LAW - Manner of Death - Suicide Intervention - Police Operation - Appropriateness and adequacy of police response - Intentional taking of life

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