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 111 - 120 of 971 results

Inquest into the death of Sean Montgomery (587.6 KB,PDF File)

Decision of Deputy State Coroner O'Neil

CORONIAL LAW – elective surgery, post operative care, Private Hospital, no take back policy, transfer to Public Hospital, delay in return to surgery

Inquest into the disappearance and suspected death of Bruce Robinson (247.0 KB,PDF File)

Decision of Deputy State Coroner Lee

CORONIAL LAW – whether missing person now deceased, date and place of death, cause and manner of death

Inquest into the death of Timothy Ricketts (161.6 KB,PDF File)

Decision of Deputy State Coroner Baptie

CORONIAL LAW – Unascertained death, recent cardiac event with raised troponin levels, significance of Pfizer vaccination, effects of methadone use on cardiac d

Inquest into the death of Philip Nguyen (708.0 KB,PDF File)

Decision of Deputy State Coroner Baptie

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

Inquest into the death of CC (386.8 KB,PDF File)

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, highli

Inquest into the death of TH (196.9 KB,PDF File)

Decision of Deputy State Coroner O'Neil

CORONIAL LAW – death in custody, self-inflicted

Inquest into the disappearance and suspected death of William Mainprize (173.5 KB,PDF File)

Decision of Deputy Chief Magistrate Freund

CORONIAL LAW – disappearance, Gulf Livestock 1, Typhoon, Sinking

Inquest into the disappearance and suspected death of XA (227.9 KB,PDF File)

Decision of Deputy State Coroner O'Neil

Coronial law; missing person; search

Inquest into the Death of Andrew James Chee Quee - Decision (380.9 KB,PDF File)

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 – ap

Inquest into the death of Jacob Carr (340.8 KB,PDF File)

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 ca

Last updated:

02 May 2025