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 141 - 150 of 971 results

Inquest into the death of George Campbell (413.3 KB,PDF File)

Decision of State Coroner O'Sullivan

CORONIAL LAW – volatile substance use – First Nations death – death of a child in care

Inquest into the death of SH (243.4 KB,PDF File)

Decision of Deputy State Coroner Forbes

CORONIAL LAW-death in custody-adequacy of care-knock up records-ability for family or NOK to contact Correctional Centres with welfare concerns of an inmate

Inquest into the death of LA (277.7 KB,PDF File)

Decision of Deputy State Coroner Kennedy

CORONIAL LAW – child death, methadone toxicity, referral to unsolved homicide, lethal levels of methadone

Inquest into the death of Matthew Grieve (229.9 KB,PDF File)

Decision of Deputy State Coroner O'Neil

CORONIAL LAW – death in custody, hanging, health problem notification forms, custodial mental health pathways

Inquest into the death of Andrew Stubbs (369.6 KB,PDF File)

Decision of Deputy State Coroner O'Neil

CORONIAL LAW – monitoring of blood lithium levels by General Practitioner – lithium toxicity – decision to commence Intermittent Haemodialysis – complications

Inquest into the death of Unknown Male at Angedool (277.1 KB,PDF File)

Decision of Deputy State Coroner Grahame

CORONIAL LAW, identity

Inquest into the death of Atilla Demirer (159.7 KB,PDF File)

Decision of Deputy State Coroner Kennedy

CORONIAL LAW – Cause and manner of death, located at home, date, identity and place of death known, police investigation

Inquest into the death of Simon Miles (291.3 KB,PDF File)

Decision of Deputy State Coroner Ryan

CORONIAL LAW – death of a First Nations man while on a Compulsory Drug Treatment Order - whether his release to Stage 2.5 of the Community Drug Treatment Progr

Inquest into the death of Peter Gretton (384.5 KB,PDF File)

Decision of Deputy State Coroner Lee

CORONIAL LAW – death in custody, cause and manner of death, metformin toxicity, renal impairment, care and treatment of inmate patient, vital sign observations

Inquest into the death of Sharon Edwards (197.2 KB,PDF File)

Decision of Deputy State Coroner Lee

CORONIAL LAW – cause and manner of death, homicide, mandatory inquest

Last updated:

02 May 2025