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 31 - 40 of 63 results

Inquest into the death of Michelle McILQUHAM (323.7 KB,PDF File)

Decision of Deputy State Coroner Dillon

CORONIAL LAW - cause and manner of death, care and treatment by hospital, undiagnosed acute streptococcus pneumonia meningitis, recommendations

Inquest into the death of CD (507.0 KB,PDF File)

Decision of Magistrate Stone, Deputy State Coroner

CORONIAL LAW; manner of death, arising from police operation, section 23, adequacy of planning for arrest, risk assessment, appropriateness of police actions i

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 AB (888.2 KB,PDF File)

Decision of State Coroner Kennedy

Coronial law, suicide, borderline personality disorder, whether treatment appropriate by general practitioner's, whether hospital response appropriate, whether

Inquest into the death of David BROWNE (201.4 KB,PDF File)

Decision of Deputy State Coroner O'Sullivan

Coronial law, cause and manner of death, combat sports, boxing

Inquest into the death of Michael Murray (429.4 KB,PDF File)

Decision of Deputy State Coroner Kennedy

CORONIAL LAW – Death in police operation – death as a result of a fall from height – borderline personality disorder – BPD – Dialectical Behaviour Therapy – DB

Inquest into the death of Mark MURPHY (416.6 KB,PDF File)

Decision of Deputy State Coroner Lee

CORONIAL LAW - occupational diving, sudden cardiac event, drowning, full face mask dislodgment, standby diver, risk assessment, The Pit, Australian Diver Accre

Inquest into the death of DB, JD, DC, RG, AH, AB (577.6 KB,PDF File)

Decision of Deputy State Coroner Grahame

Coronial law, opiate overdose, opioid overdose, fentanyl, naloxone, multi-drug toxicity, methadone, recommendations to prevent opioid or opiate deaths, oxycodo

Inquest into the disappearance and suspected death of Melissa CADDICK (592.2 KB,PDF File)

Decision of Deputy State Coroner E Ryan

CORONIAL LAW - disappearance of a person - is the person deceased - if so can cause and manner of death be established - was the person suffering a psychiatric

Inquest into the death of Kevin Edwards (552.6 KB,PDF File)

Decision of State Coroner O'Sullivan

CORONIAL LAW – death as a result of a police operation – 23(1)(c) and 27(1)(b) of the Coroners Act 2009 – diagnosis of drug-induced psychosis – diagnosis of su

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