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 311 - 320 of 980 results

Inquest into the deaths of Lars FALKHOLT, Vivian FALKHOLT, Jessica FALKHOLT and Annabelle FALKHOLT, and Craig WHITALL (514.1 KB,PDF File)

Decision of State Coroner O'Sullivan

CORONIAL LAW - traffic incident, five deaths, manner of driving, methadone dispensing, impact of various medications, adequacy of treatment in regional areas,

Inquest into the death of Harland SUTTON (388.5 KB,PDF File)

Decision of Deputy State Coroner Grahame

CORONIAL LAW - Sudden Unexpected Death in Infancy (SUDI), frusemide

Inquiry into the fire at Reedy Swamp Tarraganda Bega/Tathra (1.3 MB,PDF File)

Decision of Deputy State Coroner Truscott

CORONIAL LAW - Fire General Inquiry - Cause and Origin - Electrical Infrastructure-Vegetation Management - Fuel Load Management - Emergency Response Management

Inquest into the death of Bailey Mackander (595.6 KB,PDF File)

Decision of Deputy State Coroner Truscott

Coronial law, cause and manner of death, First Nations death whilst in lawful custody of Corrective Services NSW, Hospital escort, Escape , Intent to self-harm

Inquest into the death of Yohan WEPITIYA-GAMAGE (363.7 KB,PDF File)

Decision of Deputy State Coroner Lee

CORONIAL LAW - death in custody, self-inflicted death, Metropolitan Special Programs Centre, psychiatric review, Patient Administration System, Darcy Daily Cli

Inquest into the death of Joshua Szczudlo (1.8 MB,PDF File)

Decision of Deputy State Coroner Ryan

CORONIAL LAW - death of man in hospital following Łshoulder surgery - cause of death - was clinical care 1adequate - policies and procedures for bariatric pati

Inquest into the death of Elias MELHEM (220.6 KB,PDF File)

Decision of Deputy State Coroner Lee

CORONIAL LAW - death in custody, cause and manner of death

Inquest into the death of Danny Whitton (666.3 KB,PDF File)

Decision of Deputy State Coroner Truscott

Coronial law, cause and manner of death,death in custody. First Nations Prisoner, paracetamol toxicity, delay, CCTV

Inquest into the death of Albert Metledge (275.2 KB,PDF File)

Decision of Deputy State Coroner Truscott

Coronial law, cause and manner of death

Inquest into the death of Emiliana OBUSAN (345.4 KB,PDF File)

Decision of Deputy State Coroner Lee

CORONIAL LAW - cause and manner of death - endotracheal tube - unrecognised oesophageal intubation - tracheal intubation - provision of anaesthesia care to pae

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