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 1 - 10 of 994 results

Inquest into the death of Lathan Brown (453.1 KB,PDF File)

Decision of Deputy State Coroner Devine

CORONIAL LAW – Aboriginal death in custody, cause of death, timeliness of emergency response, adequacy of emergency response, health care whilst in custody, co

Inquest into the death of Bruce John Hitchen (242.2 KB,PDF File)

Decision of Deputy State Coroner Devine

CORONIAL LAW – whether missing person deceased – changes to missing person investigations - unascertained cause, manner, and place of death

Inquest into the death of PF (299.1 KB,PDF File)

Decision of Deputy State Coroner Hosking

CORONIAL LAW – Mandatory inquest pursuant to s 23(1)(d)(ii) of the Coroners Act 2009 (NSW) – Death in custody; intentional self-harm following adverse legal ad

Inquest into the death of James Cunneen (897.4 KB,PDF File)

Decision of DSC O'Neil

CORONIAL LAW — death in custody — inadequate staffing — one general practitioner for 1150 patients in custodial setting — chaotic delivery of health care in No

Inquest into the death of Prabha Arunkumar (1.3 MB,PDF File)

Decision of Deputy State Coroner O'Neil

CORONIAL LAW --fatal stabbing of woman in 2015-perpetrator not identified-referral to unsolved homicide

Inquest into the death of Colin Whaley (195.9 KB,PDF File)

Decision of Deputy State Coroner Devine

CORONIAL LAW – Mandatory inquest pursuant to s 23 (1)(d)(ii) of the Coroners Act 2009 (NSW) – natural causes – no care or treatment concerns

Inquest into the disappearance and suspected death of Zac Barnes (263.7 KB,PDF File)

Decision of Deputy State Coroner Forbes

CORONIAL – missing person – suspicious circumstances – finding of death – referral to NSW Police Unsolved Homicide Team

Inquest into the death of Min Young CHOI (191.8 KB,PDF File)

Decision of Deputy State Coroner Devine

CORONIAL LAW – unascertained cause and manner of death.

Inquest into the death of Nathan Markl (337.2 KB,PDF File)

Decision of Deputy State Coroner Forbes

CORONIAL – First Nations death ‐ missing person later located in Narrabri Creek – misadventure

Inquest into the death of SF (357.3 KB,PDF File)

Decision of Deputy State Coroner Baptie

CORONIAL LAW – death in custody – self-inflicted injury – adequacy of CSNSW’s monitoring – availability of hanging points – assessment and determination of app

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