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 161 - 170 of 973 results

Inquest into the death of JY (475.1 KB,PDF File)

Decision of State Coroner O'Sullivan

CORONIAL LAW - acute psychotic episode, schizophrenia, was mental health care appropriate, recommendations to expand REACH program in public mental health sett

Inquest into the death of Baylen Pendergast (550.2 KB,PDF File)

Decision of Deputy State Coroner Lee

CORONIAL LAW - suspicious death of a child, cause and nature of paediatric head injuries, whether head injuries were non-accidental, care provided at Tamworth

Inquest into the disappearance and suspected death of Ruben Gardiol (226.7 KB,PDF File)

Decision of Deputy State Coroner O'Neil

CORONIAL LAW – Missing person, search

Inquest into the death of Brandon Clark (378.4 KB,PDF File)

Decision of Deputy State Coroner Kennedy

CORONIAL LAW – Death in police operation, stop and search, Section 21 LEPRA, exercise of power to arrest, Section 77 Bail Act 2013, breach of bail, decision to

Inquest into the death of CJ (273.8 KB,PDF File)

Decision of Deputy State Coroner Forbes

CORONIAL LAW-death in custody- mandatory inquest-adequacy of treatment and care-opportunity for family to raise concerns about the welfare of inmates and patie

Inquest into the death of Azhar Abdul (241.9 KB,PDF File)

Decision of Deputy State Coroner Kennedy

CORONIAL LAW – Cause and manner of death, death in custody, intentional self-inflicted injury, care and treatment, mental health considerations, concerns of th

Inquest into the disappearance and suspected death of Nils Noa Enzo Samrud-Sage (216.7 KB,PDF File)

Decision of Deputy State Coroner Kennedy

CORONIAL LAW – Missing persons, witnessed fall into the ocean, police search, less than 6 months since reported missing,

Inquest into the death of Benjamin Woodhouse (245.2 KB,PDF File)

Decision of Deputy State Coroner O'Neil

CORONIAL LAW - mental health, involuntary patient, escorted leave, conditions of leave

Inquest into the deaths of Emma Bowden, Heather Bowden-Page, Edward Cousins, Richard Cousins, William Cousins & Gareth Morgan (541.7 KB,PDF File)

Decision of Deputy State Coroner Lee

CORONIAL LAW - cause and manner of death, aviation fatality, de Havilland Canada DHC-2, Jerusalem Bay, Sydney Seaplanes, Airag Aviation Services, floatplane, e

Inquest into the disappearance and suspected death of Melissa CADDICK (592.2 KB,PDF File)

Decision of Deputy State Coroner E Ryan

CORONIAL LAW - disappearance of a person - is the person deceased - if so can cause and manner of death be established - was the person suffering a psychiatric

Last updated:

02 May 2025