Coroners Court New South Wales

Coronial findings and recommendations

To access a finding not listed here, please make application (DOC, 62.0 KB) to the Court. In some inquests recommendations are made to Ministers and Government and non-government agencies.

Showing 1-10 of 63 results

  • Recommended
    Decision of Deputy State Coroner Baptie
    CORONIAL LAW – undetermined cause of death – significant blunt head trauma suffered from an assault inflicted by known persons – effects of methamphetamine and opiates – significant co-morbidities, being coronary atherosclerosis and
  • Recommended
    Decision of Deputy State Coroner Baptie
    CORONIAL LAW – general inquiry, cause, origin and circumstances - hazard reduction burn on private property – Bush Fire Hazard Reduction Certificates – whether burn appropriately managed prior to breach of containment
  • Recommended
    Decision of Deputy State Coroner Forbes
    CORONIAL LAW - cause of death non accidental blunt force head injury- suspicious circumstances-open finding on manner of death-recommendation that NSW Police Unsolved Homicide Unit further investigate the death
  • Recommended
    Decision of Deputy State Coroner Lee
    CORONIAL LAW – death in New South Wales Police Force custody, cause and manner of death, Critical Incident Investigation, cocaine and alcohol toxicity, seizure activity, resuscitation efforts
  • Recommended
    Decision of Deputy State Coroner Pearce
    CORONIAL LAW – death of 4-month-old baby - child and siblings known to Department of Communities and Justice - cause and manner of death
  • Recommended
    Decision of Deputy State Coroner Pearce
    CORONIAL LAW – death in Corrective Services NSW custody – self-inflicted intentional injury– whether mental health care and treatment concerns
  • Recommended
    Decision of Deputy State Coroner Ryan
    CORONIAL LAW – death of person in custody - was custodial health care and treatment appropriate.
  • Recommended
    Decision of Deputy State Coroner Lee
    CORONIAL LAW – manner of death, intentionally self-inflicted death, mental health diagnosis, mental health assessment, subacute mental health care, postpartum psychosis, obsessive compulsive disorder, delusions, coordination of care, collection of
  • Recommended
    Decision of Deputy State Coroner Forbes
    CORONIAL LAW – death in custody – manner and cause of death during COVID-19 outbreak at Junee Correctional Centre – adequacy of care
  • Recommended
    Decision of Deputy State Coroner Ryan
    CORONIAL LAW – death of a person reported missing in Katoomba area – can cause of death be established? Can manner of death be established?
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Last updated:

06 May 2024

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