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 81 - 90 of 971 results

Inquest into the death of Douglas Thrift (425.6 KB,PDF File)

Decision of Deputy State Coroner Forbes

CORONIAL LAW–unascertained manner of death-cause of death strychnine toxicity-open finding on manner of death

Inquest into the death of BC (389.3 KB,PDF File)

Decision of Deputy State Coroner Baptie

CORONIAL LAW – Death as a result of fall from a height – manner of death – appropriateness of police response.

Inquest into the death of Mohamed Warwar (344.8 KB,PDF File)

Decision of Deputy State Coroner O'Neil

CORONIAL LAW – death in custody, natural causes, HPNFs, record keeping, communication between correctional officers and nursing staff

Inquest into the death of Vicki Higgins (318.3 KB,PDF File)

Decision of Deputy State Coroner Forbes

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

Inquest into the death of Roger Frederick Schnelle (408.2 KB,PDF File)

Decision of Deputy State Coroner Kennedy

CORONIAL LAW – diagnosis of mental health condition – psychotic depression / depression with psychotic features – care and treatment provided during admission

Inquest into the death of Finlay Browne (725.9 KB,PDF File)

Decision of Deputy State Coroner Kennedy

CORONIAL LAW – mid-gut volvulus and bowel obstruction, ischaemic bowel, unconscious bias, consideration of disability and treatment in hospital, Bathurst Base

Inquest into the death of Keith Titmuss (718.8 KB,PDF File)

Decision of Deputy State Coroner Lee

CORONIAL LAW – cause and manner of death, exertional heat stroke, exertional heat illness, hyperthermia, seizures, National Rugby League, Heat Policy, Manly Wa

Inquests into the deaths of Mona Lisa and Jacinta Smith (1.1 MB,PDF File)

Decision of State Coroner O'Sullivan

CORONIAL LAW – Aboriginal; First Nations; Wakamurra; Muruwari; Kunya; Bourke; Enngonia; single vehicle collision; rollover; inquest resumed; s.79 Coroners Act;

Inquest into the death of Baby Q (1.2 MB,PDF File)

Decision of Deputy State Coroner Grahame

CORONIAL LAW – manner and cause of death – mental illness – family violence and neglect – family known to the NSW Department of Communities and Justice and the

Inquest into the death of Michael Murray (429.4 KB,PDF File)

Decision of Deputy State Coroner Kennedy

CORONIAL LAW – Death in police operation – death as a result of a fall from height – borderline personality disorder – BPD – Dialectical Behaviour Therapy – DB

Last updated:

02 May 2025