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 219 results

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 L (392.1 KB,PDF File)

Decision of Deputy State Coroner Ryan

Coronial law, mandatory inquest, death of a person in custody, Parklea Correctional Centre, what was cause of death, was mental health care provided by the GEO

Inquest into the death of FW (375.5 KB,PDF File)

Decision of Deputy State Coroner Ryan

Coronial law, self-inflicted death, bipolar affective disorder, Community Treatment Order made in Victoria, whether enforceable in NSW, adequacy of psychiatric

Inquest into the death of LT (194.2 KB,PDF File)

Decision of Deputy State Coroner Ryan

CORONIAL LAW – death of a person in custody – lethal overdose of methylamphetamine – adequacy of emergency medical response – how did deceased person get acces

Inquest into the death of Scott CAYIRYLIS (280.7 KB,PDF File)

Decision of Deputy State Coroner Magistrate Elizabeth Ryan

CORONIAL LAW; death of a man while awaiting ambulance; ambulance dispatcher downgraded response code; ambulance not allocated until police arrived at scene; NS

Inquest into the disappearance and death of Esmeraldo San Juan (291.2 KB,PDF File)

Decision of Deputy State Coroner Ryan

Coronial law, Missing person, rock fishing death, recommendations made in 2015 inquest

Inquest into the death of Lesley ARNDELL (409.0 KB,PDF File)

Decision of Deputy State Coroner Magistrate Elizabeth Ryan

CORONIAL LAW – death of hospital patient from sepsis – was patient appropriately referred to private hospital – was there delay in surgery – was antibiotic tre

Findings Sevak SIMONIAN (113.5 KB,PDF File)

Decision of Deputy State Coroner Grahame

Coronial law, missing person - search in bushland

Inquest into the disappearance and suspected death of Allan Beeby (951.4 KB,PDF File)

Decision of Deputy State Coroner Kennedy

CORONIAL LAW – maritime safety, safety standards for recreational vessels, certification of recreational vessels, product warnings for recreational vessels, co

Inquest into death of RW (253.7 KB,PDF File)

Decision of Deputy State Coroner Kennedy

CORONIAL LAW – Unfractionated Heparin compared to Enoxaparin for prevention of DVT, police operation, police pursuit for mental health welfare concern, care an

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