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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 of a man from acute alcohol intoxication; whether police should have detained him as an intoxicated person; whether police acted appropriately when retur
death by drowning; First Nations death; Gomeroi man; police search
manner of death; death in the course of a police operation; police executing a bench arrest warrant; planning and risk assessment; discharges of firearm by pol
death of a person in custody; lethal overdose of methylamphetamine; adequacy of emergency medical response; how did deceased person get access to methylampheta
death of a person in custody; overdose of clozapine medication; was mental health care of an appropriate standard; recommendations
death by gunshot wounds, unsolved homicide
whether missing person now deceased; date and place of death, cause and manner of death; allocation of officer-in-charge if investigation; delays in NSWPF inve
cause and manner of death; surgical error; Hartmann’s procedure; ileus; stoma; iatrogenic mechanical bowel obstruction; peritonitis; open disclosure; open disc
cause and manner of death; missing persons; cross border police communication in missing persons; interstate search for missing persons; mental health; mentall
manner of death, volatile substance use, chroming, drug education, roundtable
If you have any enquiries, please contact the Department of Communities and Justice, Legal
18 Feb 2025