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 481 - 490 of 985 results

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

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

Decision of Deputy State Coroner Lee

Coronial law, death in custody, cause of death, prone restraint, positional asphyxia, Immediate Action Team, Mental Health Unit, Long Bay Hospital, de-escalati

Inquest into the death of Daniel Wall (296.8 KB,PDF File)

Decision of Deputy State Coroner Truscott

Coronial law, cause and manned of death, s23 death in police operation, police pursuit, absconding offender, fall from cliff

Inquest into the death of Ross MARTIN (690.6 KB,PDF File)

Decision of Deputy State Coroner Grahame

Coronial law, self-inflicted death, discharge form mental health care, pentobarbitone toxicity

Inquest into the death of six patrons of NSW music festivals (1.2 MB,PDF File)

Decision of Deputy State Coroner Grahame

Coronial law - manner of death, death at music festival, MDMA toxicity, harm minimisation strategies, policing of music festivals, drug checking, drug monitori

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