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The Coroners Act 2009 allows a coroner to make recommendations as part of their findings following an investigation into a death, suspected death, fire or explosion. Coronial findings are available on the Coroners Court Website.
In some inquests and inquiries, recommendations are made. Where recommendations are made to NSW Ministers and Government Agencies, they are required to report to the Attorney General within six months of receiving a coronial recommendation in accordance with Premier's Memorandum 2009-12, outlining any action to be taken to implement the recommendation.
The Department of Communities and Justice maintains and publishes coronial recommendations and the subsequent responses.
You can view recommendations and any responses received via the search field.
Responses received between 2009 and 2022 are presently maintained on our Archive page.
death from drug overdose of a person in correctional centre; was supervision of inmates adequate; was emergency response appropriate; question of recommendatio
coronial law
long term missing person; whether missing person is deceased; whether findings with regards to identity, date, place, cause, and manner of death can be made; n
death in custody; natural causes; HPNFs; record keeping; communication between correctional officers and nursing staff
death in custody; cause and manner of death; ischaemic bowel; death during COVID-19 outbreak at Junee Correctional Centre; adequacy of care; adequacy of respon
Diagnosis of mental health condition; psychotic depression / depression with psychotic features; care and treatment provided during admission at Nolan House in
mid-gut volvulus and bowel obstruction; ischaemic bowel; unconscious bias; consideration of disability and treatment in hospital; Bathurst Base Hospital; adequ
cause and manner of death; exertional heat stroke; exertional heat illness; hyperthermia; seizures; National Rugby League; Heat Policy; Manly Warringah Sea Eag
Aboriginal; First Nations; Wakamurra; Muruwari; Kunya; Bourke; Enngonia; single vehicle collision; rollover; inquest resumed; s.79 Coroners Act; colonisation;
manner and cause of death; mental illness; family violence and neglect; family known to the NSW Department of Communities and Justice and the QLD Department of
If you have any enquiries, please contact the Department of Communities and Justice, Legal
18 Feb 2025