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 63 results

Inquest into the death of Blaine ROZS (95.4 KB,PDF File)

Decision of Coroner Jerram

Coronial law, cause and manner of death, fall from tractor, traumatic asphyxia, recommendations for workplace safety.​​

Inquest into the death of Charles Welsford SMITHERS (73.2 KB,PDF File)

Decision of Deputy State Coroner O'Sullivan

Coronial law, cause and manner of death, sudden cardiac death

Inquest into the death of AN (300.9 KB,PDF File)

Decision of Deputy State Coroner Kennedy

CORONIAL LAW – Unascertained cause of death in newborn, toxicology findings of methylamphetamine, likely effects of drug consumption by drinking methylamphetam

Inquest into the death of AR (355.4 KB,PDF File)

Decision of Deputy State Coroner Ryan

Coronial law, cause and manner of death, death in residential care facility, drug toxicity (Fluvoxamine), SUDEP, adequacy of care and treatment

Inquest into the disappearance and death of Esmeraldo San Juan (291.2 KB,PDF File)

Decision of Deputy State Coroner Ryan

Coronial law, Missing person, rock fishing death, recommendations made in 2015 inquest

Inquest into the death of Alissa Campbell (484.9 KB,PDF File)

Decision of Deputy State Coroner Grahame

Coronial law, accidental drug overdose, Real Time Prescription Monitoring (RTPM)

Inquest into the death of Alex BRAES (359.8 KB,PDF File)

Decision of Deputy State Coroner Ryan

CORONIAL LAW: death of a young man - cause of death sepsis - was clinical care at Broken Hill Base Hospital adequate - were arrangements or airlift to a tertia

Inquest into the death of Jaxon McGrorey-Smith (637.7 KB,PDF File)

Decision of Deputy State Coroner Lee

Coronial law, neonatal hypoxic ischaemic encephalopathy, palliative care of infant, end-of-life care of infant, advanced care plan

Inquest into the death of Peter SMITH (435.9 KB,PDF File)

Decision of Coroner Antrum

Coronial law, cause and manner of death, adequacy of care, supply of CG4+ gas cartridges, transfer to tertiary hospital, reocmmendations

Inquest into the death of M F (347.7 KB,PDF File)

Decision of Deputy State Coroner Grahame

CORONIAL LAW - Self-inflicted death, Safe Driving Policy, 'urgent duty driving', use of lights and sirens

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