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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 in police operation, death as a result of a fall from height, borderline personality disorder, BPD, Dialectical Behaviour Therapy, DBT, Blue Mountains Ho
cause and manner of death of a baby at birth-ultrasound report, continuous CTG monitoring caesarean section, separation of the umbilical cordtransected placent
cause and manner of death; homicide
death in police operation; gunshot wounds by police officer; appropriateness of actions of NSW Police Force officers; use of “breach and hold” in a police oper
cause and manner of death, open finding as to manner, cause of death acid burns, application of acid by another, immigration fraud, gambling, debts
report on findings and recommendations made in 41 inquiries in respect of more than 110 reported fires and 25 deaths resulting from those fires during the 2019
unexplained disappearance and whether missing person is now deceased, date and place, cause and manner of death
death in a police operation; adequacy of response to domestic violence incident; direction and detention pursuant to s 89A of the Crimes (Domestic and Personal
death due to complications of methylamphetamine use; death of a person on supervised parole; wrap around support for parolees with complex needs
death in custody; acute cocaine toxicity; first aid by police; adequacy of NSW Police first aid training; CPR; NSW Police access to automatic external defibril
If you have any enquiries, please contact the Department of Communities and Justice, Legal
18 Feb 2025