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 301 - 310 of 975 results

Inquest into the death of Camilla MARGOLIS (365.0 KB,PDF File)

Decision of Deputy State Coroner Lee

CORONIAL LAW - care and treatment, Blue Mountains District ANZAC Memorial Hospital, discharge planning from mental health inpatient unit, care co-ordination, t

Inquest into the death of Nick NEWMAN (372.8 KB,PDF File)

Decision of Deputy State Coroner Ryan

CORONIAL LAW - death of a person in a police operation - was proper risk assessment performed - was there appropriate communication between the involved office

Inquest into the death of Shelley YOUNG (410.8 KB,PDF File)

Decision of Deputy State Coroner Forbes

CORONIAL LAW - cause and manner of death - medical care and treatment of long-term mental health patients - prescribing of anti-psychotic and sedative medicati

Inquest into the deaths of Judith CHRUPALO and Christopher CLEE (569.4 KB,PDF File)

Decision of Deputy State Coroner Lee

CORONIAL LAW - Cause and manner of death, identity of deceased persons, NSW Public Guardian, Dubbo Base Hospital, Lourdes Hospital and Community Health Care Se

Inquest into the death of Jack LOH (797.6 KB,PDF File)

Decision of Deputy State Coroner Lee

CORONIAL LAW - cause and manner of death, early childhood education and care, family day care, regulatory authority, Kidstart Pty Ltd, Department of Education,

Inquest into the deaths of Lars FALKHOLT, Vivian FALKHOLT, Jessica FALKHOLT and Annabelle FALKHOLT, and Craig WHITALL (514.1 KB,PDF File)

Decision of State Coroner O'Sullivan

CORONIAL LAW - traffic incident, five deaths, manner of driving, methadone dispensing, impact of various medications, adequacy of treatment in regional areas,

Inquest into the death of Harland SUTTON (388.5 KB,PDF File)

Decision of Deputy State Coroner Grahame

CORONIAL LAW - Sudden Unexpected Death in Infancy (SUDI), frusemide

Inquiry into the fire at Reedy Swamp Tarraganda Bega/Tathra (1.3 MB,PDF File)

Decision of Deputy State Coroner Truscott

CORONIAL LAW - Fire General Inquiry - Cause and Origin - Electrical Infrastructure-Vegetation Management - Fuel Load Management - Emergency Response Management

Inquest into the death of Bailey Mackander (595.6 KB,PDF File)

Decision of Deputy State Coroner Truscott

Coronial law, cause and manner of death, First Nations death whilst in lawful custody of Corrective Services NSW, Hospital escort, Escape , Intent to self-harm

Inquest into the death of Yohan WEPITIYA-GAMAGE (363.7 KB,PDF File)

Decision of Deputy State Coroner Lee

CORONIAL LAW - death in custody, self-inflicted death, Metropolitan Special Programs Centre, psychiatric review, Patient Administration System, Darcy Daily Cli

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