Coroners Court New South Wales

Coronial findings and recommendations

To access a finding not listed here, please make application (DOC, 62.0 KB) to the Court. In some inquests recommendations are made to Ministers and Government and non-government agencies.

Showing 1-10 of 284 results

  • Recommended
    Decision of Deputy State Coroner Lee
    CORONIAL LAW – whether missing person now deceased, date and place of death, cause and manner of death, rock fishing, Eagle Rock, Royal National Park
  • Recommended
    Decision of Deputy State Coroner Lee
    CORONIAL LAW – cause and manner of death, homicide, resident of aged care facility, challenging behaviour of resident, clinical management, indication for transfer to hospital, post-fall management, escalation of care
  • Recommended
    Decision of Deputy State Coroner Lee
    CORONIAL LAW – cause and manner of death, COVID-19 pandemic, residential aged care facility, preparedness for infectious disease outbreak, surge workforce, Personal Protective Equipment, infection control, staffing levels, staff training, Hospital
  • Recommended
    Decision of Deputy State Coroner Forbes
    CORONIAL LAW- Dog attack of a five-week-old baby- Examination of the Companion Animals Act 1998 regulatory regime – Recommendations for regulatory changes
  • Recommended
    Decision of State Coroner O'Sullivan
    CORONIAL LAW - interlocutory application, jurisdiction, sufficient interest, issues list, interim hearing, scope, recommendations
  • Recommended
    Decision of Deputy State Coroner Ryan
    CORONIAL LAW – mandatory inquest – death of a person by homicide – coercive control – was response of NSW Police Force to reports of domestic and family violence adequate – is risk assessment tool used by NSW Police Force adequate?
  • Recommended
    Decision of Deputy State Coroner Ryan
    CORONIAL LAW – Death as a result of police operation –– First Nations death – restraint of person in the prone position – was the response of police and ambulance officers appropriate, and consistent with policy and training –
  • Recommended
    Decision of Deputy State Coroner Baptie
    CORONIAL LAW – general inquiry, cause, origin and circumstances - hazard reduction burn on private property – Bush Fire Hazard Reduction Certificates – whether burn appropriately managed prior to breach of containment
  • Recommended
    Decision of Deputy State Coroner Grahame
    CORONIAL LAW – Death in police operation – gunshot wounds by police officer – appropriateness of actions of NSW Police Force officers – use of “breach and hold” in a police operation involving a person suffering from an acute episode of
  • Recommended
    Decision of State Coroner O'Sullivan
    Inquests and Inquiries into the 2019/2020 NSW Bushfire Season - Volume 2
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Last updated:

23 Oct 2024

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