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 41 - 50 of 980 results

Inquest into the deaths at Newmarch House (2.5 MB,PDF File)

Decision of Deputy State Coroner Lee

CORONIAL LAW – cause and manner of death, COVID-19 pandemic, residential aged care facility, preparedness for infectious disease outbreak, surge workforce, Per

Inquest into the death of BG (449.2 KB,PDF File)

Decision of Deputy State Coroner Pearce

CORONIAL LAW – death of 7-month-old baby – family known to Department of Communities and Justice – cause and manner of death

Inquest into the death of MJ (1.1 MB,PDF File)

Decision of Deputy State Coroner Forbes

CORONIAL LAW- Dog attack of a five-week-old baby- Examination of the Companion Animals Act 1998 regulatory regime – Recommendations for regulatory changes

Inquest into the death of Tammy Michelle Shipley (599.0 KB,PDF File)

Decision of State Coroner O'Sullivan

CORONIAL LAW - interlocutory application, jurisdiction, sufficient interest, issues list, interim hearing, scope, recommendations

Inquest into the death of Logan Losurdo (182.9 KB,PDF File)

Decision of Magistrate K Perry, Coroner

CORONIAL LAW – unascertained manner of death; unascertained cause of death; evidence incapable of meaningful examination due to time in water

Inquest into the death of Ian Turner (3.6 MB,PDF File)

Decision of Deputy State Coroner Grahame

CORONIAL LAW – intentional self-harm – multi-drug toxicity – Post Traumatic Stress Disorder (PTSD) – combat-related PTSD – mental health supports for ADF membe

Inquest into the death of Olivia Gilffillan (333.8 KB,PDF File)

Decision of Deputy State Coroner Hosking

CORONIAL LAW - Can cause and manner of death be established? Mental health diagnosis and treatment; medical response to suicide risk

Inquest into the death of Stephen John Burt (325.0 KB,PDF File)

Decision of Deputy State Coroner Hosking

CORONIAL LAW - identification of a missing person, NSW police application of policies and procedures in relation to missing persons and fingerprinting

Inquest into the death of Mr S (266.4 KB,PDF File)

Decision of Deputy State Coroner Ryan

CORONIAL LAW – mandatory inquest – death of a person in lawful custody – self-inflicted intentional death

Inquest into the death of Terry Grady (195.2 KB,PDF File)

Decision of State Coroner O'Sullivan

CORONIAL LAW – Cause and manner of death – death in custody

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