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 41 - 50 of 57 results

Inquest into the death of William James ROBSON-PEARCE (193.3 KB,PDF File)

Decision of Deputy State Coroner MacMahon

Coronial law, mandatory inquest, death in police operation, police pursuit, discretion to commence pursuit, pursuit of speeding motorcyclist, compliance with s

Inquest into the deaths of Stephanie Jane KING, Ella-Jane KABEALO and Jacob Matthew KABEALO (287.1 KB,PDF File)

Decision of Acting State Coroner O'Sullivan

Coronial law, manner of death, flooded river systems, hazardous road conditions, mud and silt on road, drowning of mother and two children, Dulguigan Road, Loc

Inquest into the death of Michaela Perrin (148.3 KB,PDF File)

Decision of Deputy State Coroner Grahame

Coronial law, maternal sepsis

Inquest into the disappearance and suspected death of Morgan Rae (369.7 KB,PDF File)

Decision of Deputy State Coroner Kennedy

CORONIAL LAW – missing person, triangulation, adequacy of search, compliance with NSW Police Force Standard Operating Procedures – Missing Persons, Unidentifie

Inquest into the death of Tyrone Adams (458.1 KB,PDF File)

Decision of Deputy State Coroner Grahame

CORONIAL LAW – Safe Driving Policy (SDP); Police Pursuit; whether re-initiation of pursuit; vehicle stop

Inquests and Inquiries into the 2019/2020 NSW Bushfire Season - Volume 1 (7.5 MB,PDF File)

Decision of State Coroner O'Sullivan

Inquests and Inquiries into the 2019/2020 NSW Bushfire Season - Volume 1

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 Sam Cain (a pseudonym) (317.1 KB,PDF File)

Decision of Deputy State Coroner Baptie

Coronial Law, cause and manner of death, adequacy of medical care and treatment as an involuntary patient

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 Christopher McGRAIL (454.6 KB,PDF File)

Decision of Deputy State Coroner Truscott

CORONIAL LAW; cause and manner of death, s.23 death as a result of a police operation, police tactical training, police mental health training, gunshots, subst

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