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 61 - 70 of 971 results

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

Inquest into the disappearance and suspected death of KL (220.5 KB,PDF File)

Decision of Deputy State Coroner Elizabeth Ryan

CORONIAL LAW – disappearance and suspected death of KL - is KL deceased? – if so, can manner and cause of KL’s death be ascertained – was hospital care of an a

Inquest into the death of Robert Phair (215.5 KB,PDF File)

Decision of Deputy State Coroner Ryan

CORONIAL LAW – death of a person in Parklea Correctional Centre - can cause of death be established – was nursing and medical care appropriate and adequate.

Inquest into the death of Andrew Seton (3.1 MB,PDF File)

Decision of State Coroner O'Sullivan

CORONIAL LAW – circumstances of accident and death – survivability – response by NSWPF to report of person missing – search and rescue – search urgency assessm

Inquest into the death of Denis Ives (377.1 KB,PDF File)

Decision of Deputy State Coroner Pearce

CORONIAL LAW – death in Corrective Services NSW custody - whether care and treatment concerns

Inquest into the death of Geoffrey Fardell (235.5 KB,PDF File)

Decision of Deputy State Coroner Kennedy

CORONIAL LAW – homicide- in lawful custody- mandatory inquest - section 23 Coroners Act 2009 – compatibility assessment – appropriateness of shared cell placem

Inquest into the death of Corey SELBY (1.0 MB,PDF File)

Decision of Deputy State Coroner Forbes

CORONIAL LAW- request by deceased for police to attend his house with an intention of provoking police to shoot him and end his life by pointing a rifle at the

Inquest into the death of Russell Zaska (294.4 KB,PDF File)

Decision of Deputy State Coroner Kennedy

CORONIAL LAW – death in custody, mental health, mentally ill person, transfer from custody to receive care, section 24 Crimes (Administration of Sentences) Act

Inquest into the death of Dwayne Johnstone (850.7 KB,PDF File)

Decision of State Coroner O'Sullivan

CORONIAL LAW – First Nations death in custody – section 23 mandatory inquest – prisoner attempting escape during medical escort – shot by firearm discharged by

Inquest into the death of Ricky Dougie Hampson (2.2 MB,PDF File)

Decision of Deputy State Coroner Kennedy

CORONIAL LAW failure of diagnosis, perforated duodenal ulcer, insufficient medical investigations, necessity of identification of First Nations status when pro

Last updated:

02 May 2025