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 181 - 190 of 219 results

Inquest into the death of Brendan BURNS (244.7 KB,PDF File)

Decision of Deputy State Coroner Dillon

Coronial law, Cause and manner of death, Hospital death, Misdiagnosis of seriously-ill patient in emergency department, Failure to identify patient as critical

Inquest into the death of Jacob Carr (340.8 KB,PDF File)

Decision of Deputy State Coroner Baptie

CORONIAL LAW – death in police operation – gunshot wound inflicted by police officer – appropriateness of actions of NSW Police Force officers – adequacy of ca

Inquest into the death of M G (350.4 KB,PDF File)

Decision of Deputy State Coroner Kennedy

CORONIAL LAW - Manner of Death - Suicide Intervention - Police Operation - Appropriateness and adequacy of police response - Intentional taking of life

Inquest into the deaths of Donald EVELEIGH, Angela STACKMAN, FW, ML, (415.6 KB,PDF File)

Decision of Deputy State Coroner Freund

Coronial law, cause and manner of death, quad bike accident, public health and safety, Australian safety standards, training and licensing, crush protection de

Inquest into the death of Michael Peachey (1.0 MB,PDF File)

Decision of Deputy State Coroner Ryan

CORONIAL LAW – Death as a result of police operation –– First Nations death – restraint of person in the prone position – was the response of police and ambula

Inquest into the death of Shona Hookey (1.0 MB,PDF File)

Decision of Deputy State Coroner Dillon

Coronial law, Cause and manner of death, hospital death, disabled patient unable to speak, undiagnosed twisted bowel, whether response at care facility was app

Inquest into the death of Glen Russell (302.1 KB,PDF File)

Decision of Deputy State Coroner Stone

Coronial law, death in custody; asphyxia; adequacy of intake screening and assessment; workload and staffing; recommencing medication prescribed in the communi

Inquest into the death of Omar Mohammad (671.8 KB,PDF File)

Decision of Deputy State Coroner Grahame

CORONIAL LAW – Death in custody; acute cocaine toxicity, first aid by police; adequacy of NSW Police first aid training; CPR: NSW Police access to automatic ex

Inquest into the death of Caitlyn FISCHER (1.0 MB,PDF File)

Decision of Deputy State Coroner Lee

CORONIAL LAW – Equestrian Australia, FEI, eventing, cross country test, show jumping test, Scone Horse Trials, Sydney International Horse Trials, course design

Inquest into the death of Kimberley APPLEBY (371.2 KB,PDF File)

Decision of Deputy State Coroner Baptie

CORONIAL LAW - Whether ingestion of fatal dose of pentobarbitone was deliberate, accidental or suspicious, referral to Unsolved Homicide Team

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