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 71 - 80 of 975 results

Inquest into the death of Russell Zaska (294.4 KB,PDF File)

Decision of Deputy State Coroner Kennedy

CORONIAL LAW – death in custody, mental health, mentally ill person, transfer from custody to receive care, section 24 Crimes (Administration of Sentences) Act

Inquest into the death of Dwayne Johnstone (850.7 KB,PDF File)

Decision of State Coroner O'Sullivan

CORONIAL LAW – First Nations death in custody – section 23 mandatory inquest – prisoner attempting escape during medical escort – shot by firearm discharged by

Inquest into the death of Ricky Dougie Hampson (2.2 MB,PDF File)

Decision of Deputy State Coroner Kennedy

CORONIAL LAW failure of diagnosis, perforated duodenal ulcer, insufficient medical investigations, necessity of identification of First Nations status when pro

Inquest into the death of Brett Walker (914.4 KB,PDF File)

Decision of Deputy State Coroner Kennedy

CORONIAL LAW – diagnosis of mental health condition – care and treatment provided, Community Corrections assessment prior to release on parole, service provisi

Inquest into the death of Linus Phillips (4.3 MB,PDF File)

Decision of Deputy State Coroner Baptie

CORONIAL LAW - cause and manner of death - cardiac arrhythmia - Torsades de Pointes - medical prescription of methadone (Physeptone tablets) - appropriateness

Inquest into the death of Phillip Boney (304.2 KB,PDF File)

Decision of Deputy State Coroner Ryan

CORONIAL LAW – mandatory inquest - death of a First Nations man in custody - was custodial mental health care adequate – were cultural needs adequately met – w

Inquest into the death of Dion Moore (499.5 KB,PDF File)

Decision of Deputy State Coroner Grahame

CORONIAL LAW – missing person in a remote area – death due to methamphetamine and buprenorphine use – heat and dehydration as contributing factors – police lan

Inquest into the suspected death of Paula Lee DENTON (182.3 KB,PDF File)

Decision of Coroner, Magistrate Kasey Pearce

CORONIAL LAW - missing person, referral to NSW Police Unsolved Homicide Team

Inquest into the death of Charles Yan (214.2 KB,PDF File)

Decision of Deputy State Coroner Ryan

CORONIAL LAW – death from drug overdose of a person in correctional centre – was supervision of inmates adequate – was emergency response appropriate – questio

Inquest into the death of Brett Furner (233.1 KB,PDF File)

Decision of Deputy State Coroner Lee

CORONIAL LAW - death in New South Wales Police Force custody, cause and manner of death, medical assessment of person in custody, charge room and custody manag

Last updated:

02 May 2025