Coroners Court New South Wales

Coronial findings and recommendations

To access a finding not listed here, please make application (DOC, 62.0 KB) to the Court. In some inquests recommendations are made to Ministers and Government and non-government agencies.

Showing 1-10 of 94 results

  • Recommended
    Decision of Deputy State Coroner O'Neil
    CORONIAL LAW - missing person, search
  • Recommended
    Decision of Deputy State Coroner Baptie
    CORONIAL LAW- death in custody, cause and manner of death
  • Recommended
    Decision of Deputy State Coroner Kennedy
    CORONIAL LAW – High Dependency Unit, psychiatric care, Nepean Hospital, self-harm in psychiatric ward, Mentally ill person, reduction of hanging points, highlighting of events in medical records
  • Recommended
    Decision of Deputy State Coroner O'Neil
    CORONIAL LAW – death in custody, self-inflicted
  • Recommended
    Decision of Deputy Chief Magistrate Freund
    CORONIAL LAW – disappearance, Gulf Livestock 1, Typhoon, Sinking
  • Recommended
    Decision of Deputy State Coroner Grahame
    CORONIAL LAW – interlocutory application – recusal application – application for the Coroner to disqualify herself as the presiding coroner in the inquest – apprehension of bias – Coroner’s adult sister’s public discussion of police
  • Recommended
    Decision of Deputy State Coroner Baptie
    CORONIAL LAW – death in police operation – gunshot wound inflicted by police officer – appropriateness of actions of NSW Police Force officers – adequacy of care and treatment provided by NSW Ambulance
  • Recommended
    Decision of Deputy State Coroner Kennedy
    CORONIAL LAW – police pursuit, death in police operation, decision to initiate police pursuit, relevance of seriousness of offending, conduct of driving, Safe Driving Policy (SDP)
  • Recommended
    Decision of Deputy State Coroner O'Neil
    CORONIAL LAW— mental health issues, police operation, siege, negotiations
  • Recommended
    Decision of Deputy State Coroner Grahame
    CORONIAL LAW – Death in custody; self-inflicted death; hanging in correctional centre; requests for medical treatment; sleep apnoea; obtaining CPAP machines in custody; adequacy of morning checks
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Last updated:

05 Apr 2023

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