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 211 - 220 of 975 results

Inquest into the death of Todd McKenzie (765.0 KB,PDF File)

Decision of Deputy State Coroner Grahame

CORONIAL LAW - Public interest immunity claim, non-publication orders

Inquest into the death of Austin Facer (386.6 KB,PDF File)

Decision of Deputy State Coroner Ryan

CORONIAL LAW – death of child at Broken Hill Base Hospital – can cause of death be ascertained – was medical care and treatment adequate – were transfer decisi

Inquest into the death of Jason RADFORD (210.6 KB,PDF File)

Decision of Deputy State Coroner Ryan

CORONIAL LAW – death of First Nations man at Junee Correctional Centre – was medical care and treatment appropriate

Inquest into death of RW (253.7 KB,PDF File)

Decision of Deputy State Coroner Kennedy

CORONIAL LAW – Unfractionated Heparin compared to Enoxaparin for prevention of DVT, police operation, police pursuit for mental health welfare concern, care an

Inquest into the death of Mervyn Douglas Morgan (1.9 MB,PDF File)

Decision of Deputy State Coroner Frobes

CORONIAL LAW-death in custody- mandatory inquest-adequacy of treatment of liver disease-adequacy of clinical handover- adequacy of scan result follow up-adequa

Inquest into death of William EPERE (302.3 KB,PDF File)

Decision of Deputy State Coroner Kennedy

CORONIAL LAW – death in custody, 911 tool, corrective officer training in response to hanging,

Inquest into the death of Kai McEwan (211.6 KB,PDF File)

Decision of Deputy State Coroner LEE

CORONIAL LAW – cause and manner of death, ruptured aneurysm, subarachnoid haemorrhage, undiagnosed hypertension, administration of aspirin, Adult Nurse Initiat

Inquest into death of Edward ENGLISH (123.8 KB,PDF File)

Decision of Deputy State Coroner Ryan

CORONIAL LAW – death of inmate at Long Bay Hospital – natural causes death – care and treatment appropriate.

Inquest into the death of Andrew Gilbertson (192.0 KB,PDF File)

Decision of Deputy State Coroner Forbes

CORONIAL LAW-death in custody, cause and manner of death-methadone toxicity-Justice Health-opioid substitution therapy

Inquest into the death of EW (457.3 KB,PDF File)

Decision of Deputy State Coroner Stone

CORONIAL LAW – mandatory inquest – whether the assessment, care, and treatment of, and decision making of Regional Assessment Service and Aged Care Assessment

Last updated:

02 May 2025