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 631 - 640 of 980 results

Inquest into the death of Peter Bernard Woodcroft (522.7 KB,PDF File)

Decision of Deputy State Coroner O'Sullivan

Coronial law, manner and cause of death, response of NSW Police Force to a Triple Zero call, operation of the Triple Zero call system

Inquest into the death of Tahlia Peden (392.6 KB,PDF File)

Decision of Deputy State Coroner O'Sullivan

Coronial law, Sexual assault services (SAS), Aboriginal health workers.

Inquest into the death of Richard John O'Connor (2.1 MB,PDF File)

Decision of Deputy State Coroner Grahame

coronial law, death in custody, natural causes

Inquest into the death of Matthew Wilson Leary (821.0 KB,PDF File)

Decision of Deputy State Coroner Lee

Coronial law, police operation, Mental Health Act 2007, mentally ill person, Prince of Wales Hospital, St Vincent's Hospital, communication with family members

Inquest into the death of FW (375.5 KB,PDF File)

Decision of Deputy State Coroner Ryan

Coronial law, self-inflicted death, bipolar affective disorder, Community Treatment Order made in Victoria, whether enforceable in NSW, adequacy of psychiatric

Inquest into the death of Margaret Ann Pegum (375.0 KB,PDF File)

Decision of Deputy State Coroner Ryan

Coronial law, death caused by perforation of stomach, bariatric procedure, intragastic balloon device with prior gastric surgery, adequacy of patient advice an

Inquest into the death of Stephen Hodge (391.4 KB,PDF File)

Decision of Deputy State Coroner O'Sullivan

Coronial law, Cause and manner of death, mental health, police shooting, Mental Health Intervention Team (MHIT)

Inquest into the death of Brendan Vickery (387.4 KB,PDF File)

Decision of Acting State Coroner O'Sullivan

Coronial law, Cause and manner of death, recreational jumping/swimming in a quarry, drowning, fencing, signage

Inquest into the death of Corey Kramer (217.9 KB,PDF File)

Decision of Deputy State Coroner Grahame

Coronial law, Death in Police Operation, Safe Driving Policy, unregistered mini-motorcycle

Inquest into the death of Paul Lau (540.5 KB,PDF File)

Decision of Acting State Coroner O'Sullivan

Coronial law, Cause and manner of death, TrakCare, Electronic medical records, Anaesthetics, Opioids, Fentanyl, Handover practices

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