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 71 - 80 of 971 results

Inquest into the death of Brett Walker (914.4 KB,PDF File)

Decision of Deputy State Coroner Kennedy

CORONIAL LAW – diagnosis of mental health condition – care and treatment provided, Community Corrections assessment prior to release on parole, service provisi

Inquest into the death of Linus Phillips (4.3 MB,PDF File)

Decision of Deputy State Coroner Baptie

CORONIAL LAW - cause and manner of death - cardiac arrhythmia - Torsades de Pointes - medical prescription of methadone (Physeptone tablets) - appropriateness

Inquest into the death of Phillip Boney (304.2 KB,PDF File)

Decision of Deputy State Coroner Ryan

CORONIAL LAW – mandatory inquest - death of a First Nations man in custody - was custodial mental health care adequate – were cultural needs adequately met – w

Inquest into the death of Dion Moore (499.5 KB,PDF File)

Decision of Deputy State Coroner Grahame

CORONIAL LAW – missing person in a remote area – death due to methamphetamine and buprenorphine use – heat and dehydration as contributing factors – police lan

Inquest into the suspected death of Paula Lee DENTON (182.3 KB,PDF File)

Decision of Coroner, Magistrate Kasey Pearce

CORONIAL LAW - missing person, referral to NSW Police Unsolved Homicide Team

Inquest into the death of Charles Yan (214.2 KB,PDF File)

Decision of Deputy State Coroner Ryan

CORONIAL LAW – death from drug overdose of a person in correctional centre – was supervision of inmates adequate – was emergency response appropriate – questio

Inquest into the death of Brett Furner (233.1 KB,PDF File)

Decision of Deputy State Coroner Lee

CORONIAL LAW - death in New South Wales Police Force custody, cause and manner of death, medical assessment of person in custody, charge room and custody manag

Inquest into the death of Michael Baker (5.3 MB,PDF File)

Decision of Deputy State Coroner O'Neil

CORONIAL LAW - death in custody - mandatory inquest - cardiac health - diabetes - sleep apnoea -whether medical care adequately managed in custody - cell place

Inquest into the death of Samuel Segal (359.4 KB,PDF File)

Decision of Deputy State Coroner Baptie

CORONIAL LAW – unexplained disappearance and whether missing person is now deceased, date and place, cause and manner of death

Inquest into the death of Ada Holland (550.6 KB,PDF File)

Decision of Deputy State Coroner Forbes

CORONIAL LAW - Dog attack on Collingwood Beach, Vincentia, NSW

Last updated:

02 May 2025