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 21 - 30 of 52 results

Inquest into the death of Phoenix Hemmings (213.0 KB,PDF File)

Decision of Deputy State Coroner Lee

CORONIAL LAW, cause and manner of death, methadone prescription and dispensing, takeaway dose, opioid treatment program, safety assessment and safety planning

Inquest into the death of Ryan LEO (633.7 KB,PDF File)

Decision of Deputy State Coroner Truscott

Coronial law, cause and manner of death, road safety education, supervision of child crossing road, recommendations.

Inquest into the death of WX (249.9 KB,PDF File)

CORONIAL LAW - mental health and substance use disorder; risk of harm to self or others; firearms licence; medical assessment process

Inquest into the death of LP (573.4 KB,PDF File)

Decision of Deputy State Coroner Lee

Coronial law - death in custody, self-inflicted death, Risk Intervention Team review and management plan, review interval, mitigation of risk of self-harm

Inquest into the death of Brent Pottinger (376.8 KB,PDF File)

Decision of Deputy State Coroner Grahame

CORONIAL LAW – death as a result of fall from height, NSW Police operation, apprehended domestic violence order, appropriateness of NSW Police response

Inquest into the death of Leslie ARMSTRONG (127.5 KB,PDF File)

Decision of Deputy State Coroner Forbes

Coronial law, residential aged care facility, balcony fall due to failure of safety railing, recommendations to Minister for Planning

Inquest into the death of Charli Powell (385.7 KB,PDF File)

Decision of Deputy State Coroner Grahame

CORONIAL LAW - manner of death, self inflicted death in circumstances of domestic violence

Inquest into the disappearance and suspected death of Raymond Speechley (600.1 KB,PDF File)

Decision of Deputy State Coroner Truscott

Coronial law, missing person, aged care secure unit admissions and assessments, police search, survivability

Inquest into the disappearance and suspected death of Allan Beeby (951.4 KB,PDF File)

Decision of Deputy State Coroner Kennedy

CORONIAL LAW – maritime safety, safety standards for recreational vessels, certification of recreational vessels, product warnings for recreational vessels, co

Inquest into death of RW (253.7 KB,PDF File)

Decision of Deputy State Coroner Kennedy

CORONIAL LAW – Unfractionated Heparin compared to Enoxaparin for prevention of DVT, police operation, police pursuit for mental health welfare concern, care an

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