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 241 - 250 of 979 results

Inquest into the death of Kerry-Ellen (Nikki) Knight (424.5 KB,PDF File)

Decision of Deputy State Coroner Grahame

CORONIAL LAW, death in custody, presence of hanging points in cells, Covid-19 quarantine, access to telephones, mental health and peer support programs, Recept

Inquest into the death of Faithe Baxter (358.9 KB,PDF File)

Decision of Deputy State Coroner Stone

CORONIAL LAW - manner of death - whether earlier medical assistance would have changed prospects of survival - whether the available evidence establishes that

Inquest into the death of Trevor SAMUEL (366.0 KB,PDF File)

Decision of Deputy State Coroner Ryan

CORONIAL LAW - mandatory inquest - death of a person in custody - whether cause of death can be ascertained - whether the Justice Health and Forensic Mental He

Inquest into the death of S B (418.7 KB,PDF File)

Decision of Deputy State Coroner Lee

CORONIAL LAW - self-inflicted death of involuntary patient , Kaoriki House, clinical documentation, neuropsychiatric assessment, forensic assessment, risk asse

Inquest into the death of M G (350.4 KB,PDF File)

Decision of Deputy State Coroner Kennedy

CORONIAL LAW - Manner of Death - Suicide Intervention - Police Operation - Appropriateness and adequacy of police response - Intentional taking of life

Inquest into the disappearance of CD (366.7 KB,PDF File)

Decision of Deputy State Coroner Kennedy

CORONIAL LAW – Missing person – manner of death – Police Investigation – Appropriateness and adequacy of police response – Appropriateness of legislative inter

Inquest into the death of Ian Fackender (586.4 KB,PDF File)

Decision of State Coroner O'Sullivan

CORONIAL LAW - manner of death - death in the course of a police operation - police operation to enforce Community Treatment Order under Mental Health Act 2007

Inquest into the death of Sophia Bolshesolsky (379.8 KB,PDF File)

Decision of DSC Forbes

CORONIAL LAW - Pedestrian death - should the NSW Police Crash Investigation Unit have been called to investigate the accident - safety for pedestrians in John

Inquest into the death of Gavin Ellis (1.5 MB,PDF File)

Decision of Deputy State Coroner Forbes

CORONIAL LAW - self-inflicted death in custody - mandatory inquest - adequacy of mental health care - Care Pathways Model for Custodial Mental Health - Renewed

Inquest into the death of LAK (1.0 MB,PDF File)

Decision of Deputy State Coroner Huntsman

CORONIAL LAW, young First Nations man, death in residential drug rehabilitation facility, forensic patient order, cultural safety in provision of health servic

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