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 191 - 200 of 977 results

Inquest into the death of LT (194.2 KB,PDF File)

Decision of Deputy State Coroner Ryan

CORONIAL LAW – death of a person in custody – lethal overdose of methylamphetamine – adequacy of emergency medical response – how did deceased person get acces

Inquest into the death of KT (214.3 KB,PDF File)

Decision of Deputy State Coroner Ryan

CORONIAL LAW – death of a person in custody – overdose of clozapine medication - was mental health care of an appropriate standard - recommendations

Inquest into the death of Luis Fernandez (361.1 KB,PDF File)

Decision of Deputy State Coroner D. Lee

CORONIAL LAW – whether missing person now deceased, date and place of death, cause and manner of death, allocation of officer-in-charge if investigation, delay

Inquest into the death of Matthew Smith (152.3 KB,PDF File)

Decision of Deputy State Coroner O'Neil

CORONIAL LAW – death in custody – natural causes

Inquest into the death of James Brown (174.2 KB,PDF File)

Decision of Deputy State Coroner Kennedy

CORONIAL LAW – Cause and manner of death, death in custody, natural causes, care and treatment

Inquest into the death of William Edmunds (415.6 KB,PDF File)

Decision of Deputy State Coroner Kennedy

Coronial law, cause and manner of death, surgical error, Hartmann’s procedure, ileus, stoma, iatrogenic mechanical bowel obstruction, peritonitis, open disclos

Inquest into the death of Mark JOHNSTON (193.2 KB,PDF File)

Decision of State Coroner O'Sullivan

Coronial Law, search for missing person, subsequent discovery of remains, homicide by person known

Inquest into the death of JM (219.5 KB,PDF File)

Decision of Deputy State Coroner Kennedy

Coronial law, Cause and manner of death, Section 27 Coroners Act 2009, death in custody, natural causes

Inquest into the death of Irene Charlish (220.5 KB,PDF File)

Decision of Deputy State Coroner Kennedy

Coronial law, Cause and manner of death, involuntary patient, effects of post mortem clozapine levels, mental health treatment in hospital

Inquest into the disappearance and suspected death of Fraser Bruce Ewan (174.0 KB,PDF File)

Decision of Deputy State Coroner O'Neil

Coronial law, missing person, boat travel, no suspicious circumstances

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