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 231 - 240 of 975 results

Inquest into the death of ZH (268.1 KB,PDF File)

Decision of Deputy State Coroner Huntsman

CORONIAL LAW, death in custody

Inquest into the death of Harvey McGlinn (216.0 KB,PDF File)

Decision of Deputy State Coroner Lee

CORONIAL LAW, cause and manner of death, baby sling, fabric infant carrier, risk of suffocation, positional asphyxia, Boba Wrap, T.I.C.K.S., Central Coast Loca

Inquest into the death of Brenden Montgomery (420.9 KB,PDF File)

Decision of Deputy State Coroner Forbes

CORONIAL LAW, self-inflicted death during the course of a police operation, mandatory inquest, significance of broadcasting threats to kill police on radio, po

Inquest into the death of Charli Powell (385.7 KB,PDF File)

Decision of Deputy State Coroner Grahame

CORONIAL LAW - manner of death, self inflicted death in circumstances of domestic violence

Inquest into the death of Jasson Pearce (372.9 KB,PDF File)

Decision of Deputy State Coroner Huntsman

CORONIAL LAW, death in police operation, use of firearm

Inquest into the death of ZA (380.3 KB,PDF File)

Decision of Deputy State Coroner Huntsman

CORONIAL LAW, death in custody, fentanyl overdose, search of inmates, x-ray scanners, naxolone (narcan) provision in gaols

Inquest into the death of Kerry-Ellen (Nikki) Knight (424.5 KB,PDF File)

Decision of Deputy State Coroner Grahame

CORONIAL LAW, death in custody, presence of hanging points in cells, Covid-19 quarantine, access to telephones, mental health and peer support programs, Recept

Inquest into the death of Faithe Baxter (358.9 KB,PDF File)

Decision of Deputy State Coroner Stone

CORONIAL LAW - manner of death - whether earlier medical assistance would have changed prospects of survival - whether the available evidence establishes that

Inquest into the death of Trevor SAMUEL (366.0 KB,PDF File)

Decision of Deputy State Coroner Ryan

CORONIAL LAW - mandatory inquest - death of a person in custody - whether cause of death can be ascertained - whether the Justice Health and Forensic Mental He

Inquest into the death of S B (418.7 KB,PDF File)

Decision of Deputy State Coroner Lee

CORONIAL LAW - self-inflicted death of involuntary patient , Kaoriki House, clinical documentation, neuropsychiatric assessment, forensic assessment, risk asse

Last updated:

02 May 2025