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 51 - 60 of 970 results

Inquest into the death of Elizabeth Britton (3.8 MB,PDF File)

Decision of Deputy State Coroner Forbes

CORONIAL LAW - cause of death non accidental blunt force head injury- suspicious circumstances-open finding on manner of death-recommendation that NSW Police U

Inquest into the death of AAB (217.7 KB,PDF File)

Decision of Deputy State Coroner Lee

CORONIAL LAW – death in New South Wales Police Force custody, cause and manner of death, Critical Incident Investigation, cocaine and alcohol toxicity, seizure

Inquest into the death of MR (400.4 KB,PDF File)

Decision of Deputy State Coroner Pearce

CORONIAL LAW – death of 4-month-old baby - child and siblings known to Department of Communities and Justice - cause and manner of death

Inquest into the death of AB (366.5 KB,PDF File)

Decision of Deputy State Coroner Pearce

CORONIAL LAW – death in Corrective Services NSW custody – self-inflicted intentional injury– whether mental health care and treatment concerns

Inquest into the death of Roger Rogerson (152.2 KB,PDF File)

Decision of Deputy State Coroner Ryan

CORONIAL LAW – death of person in custody - was custodial health care and treatment appropriate.

Inquest into the death of Fiona Goodberg (674.5 KB,PDF File)

Decision of Deputy State Coroner Lee

CORONIAL LAW – manner of death, intentionally self-inflicted death, mental health diagnosis, mental health assessment, subacute mental health care, postpartum

Inquest into the death of Alen Imbrisak (347.5 KB,PDF File)

Decision of Deputy State Coroner Forbes

CORONIAL LAW – death in custody – manner and cause of death during COVID-19 outbreak at Junee Correctional Centre – adequacy of care

Inquest into the death of Cecilia Devine (263.4 KB,PDF File)

Decision of Deputy State Coroner Ryan

CORONIAL LAW – death of a person reported missing in Katoomba area – can cause of death be established? Can manner of death be established?

Inquest into the death of Kevin Edwards (552.6 KB,PDF File)

Decision of State Coroner O'Sullivan

CORONIAL LAW – death as a result of a police operation – 23(1)(c) and 27(1)(b) of the Coroners Act 2009 – diagnosis of drug-induced psychosis – diagnosis of su

Inquest into the death of AX (447.9 KB,PDF File)

Decision of Deputy State Coroner Baptie

CORONIAL LAW – death as a result of fall from height –Queen Victoria Building – acute psychotic illness – adequacy of care and treatment provided by Prince of

Last updated:

02 May 2025