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 471 - 480 of 979 results

Inquest into the death of Luca RASO (470.6 KB,PDF File)

Decision of State Coroner O'Sullivan

Coronial law, misdiagnosis, peritonitis, ruptured gangrenous acute appendicitis

Inquest into the death of Lorraine BARNES (584.7 KB,PDF File)

Decision of Deputy State Coroner, Magistrate Derek Lee,

CORONIAL LAW – manner of death, hospital care and treatment, nasogastric tube insertion, fine bore nasogastric tube, enteral feeding, Wollongong Private Hospit

Inquest into the suspected death of missing person Elizabeth O’PRAY (621.2 KB,PDF File)

Decision of Deputy State Coroner, Magistrate Derek Lee

CORONIAL LAW – whether missing person now deceased, police search and rescue operation, Optus, Location Based Service, Osprey, mobile phone cell tower, call ch

Inquest into the death of Peter SMITH (375.7 KB,PDF File)

Decision of Deputy State Coroner Ryan

Coronial law, death in 1971, inquest dispensed with, inquest ordered, were original cause and manner of death correctly identified?

Inquest into the death of Douglas ANDERSON (155.2 KB,PDF File)

Decision of Deputy State Coroner Ryan

Coronial law, mandatory inquest, death of a person in custody, what was cause of death, was care and treatment provided by Justice Health and Corrective Servic

Inquest into the disappearance and suspected death of Raymond Speechley (600.1 KB,PDF File)

Decision of Deputy State Coroner Truscott

Coronial law, missing person, aged care secure unit admissions and assessments, police search, survivability

Inquest into the death of Mitchell FLOOD-SMITH (468.2 KB,PDF File)

Decision of State Coroner O'Sullivan

Coronial law, cause and manner of death, securing scheduled patients, mental health, absconding risk, Triage and Assessment centre (TAC)

Inquest into the deaths of Kayla EWIN and Iziah O'SULLIVAN (Annexure to finding) (812.1 KB,PDF File)

Decision of State Coroner O'Sullivan

Coronial law, cause and manner of death, investigation and management of sudden unexpected death in infancy (SUDI) deaths in NSW, recommendations as to the ade

Inquest into the death of Harold EDWARDS (a pseudonym) (512.9 KB,PDF File)

Decision of Deputy State Coroner Truscott

Coronial law, cause and manner of death, involuntary patient, suicide, nurses' failure to carry out observations, falsified Observation Charts sheets, time of

Inquest into the deaths of Kayla EWIN and Iziah O’SULLIVAN (645.6 KB,PDF File)

Decision of State Coroner O'Sullivan

CORONIAL LAW – cause and manner of death –investigation and management of sudden unexpected death in infancy (SUDI) deaths in NSW – recommendations as to the a

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