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 81 - 90 of 975 results

Inquest into the death of Michael Baker (5.3 MB,PDF File)

Decision of Deputy State Coroner O'Neil

CORONIAL LAW - death in custody - mandatory inquest - cardiac health - diabetes - sleep apnoea -whether medical care adequately managed in custody - cell place

Inquest into the death of Samuel Segal (359.4 KB,PDF File)

Decision of Deputy State Coroner Baptie

CORONIAL LAW – unexplained disappearance and whether missing person is now deceased, date and place, cause and manner of death

Inquest into the death of Ada Holland (550.6 KB,PDF File)

Decision of Deputy State Coroner Forbes

CORONIAL LAW - Dog attack on Collingwood Beach, Vincentia, NSW

Inquest into the death of Douglas Thrift (425.6 KB,PDF File)

Decision of Deputy State Coroner Forbes

CORONIAL LAW–unascertained manner of death-cause of death strychnine toxicity-open finding on manner of death

Inquest into the death of BC (389.3 KB,PDF File)

Decision of Deputy State Coroner Baptie

CORONIAL LAW – Death as a result of fall from a height – manner of death – appropriateness of police response.

Inquest into the death of Mohamed Warwar (344.8 KB,PDF File)

Decision of Deputy State Coroner O'Neil

CORONIAL LAW – death in custody, natural causes, HPNFs, record keeping, communication between correctional officers and nursing staff

Inquest into the death of Vicki Higgins (318.3 KB,PDF File)

Decision of Deputy State Coroner Forbes

CORONIAL LAW - death in custody, cause and manner of death, ischaemic bowel, death during COVID-19 outbreak at Junee Correctional Centre, adequacy of care, ade

Inquest into the death of Roger Frederick Schnelle (408.2 KB,PDF File)

Decision of Deputy State Coroner Kennedy

CORONIAL LAW – diagnosis of mental health condition – psychotic depression / depression with psychotic features – care and treatment provided during admission

Inquest into the death of Finlay Browne (725.9 KB,PDF File)

Decision of Deputy State Coroner Kennedy

CORONIAL LAW – mid-gut volvulus and bowel obstruction, ischaemic bowel, unconscious bias, consideration of disability and treatment in hospital, Bathurst Base

Inquest into the death of Keith Titmuss (718.8 KB,PDF File)

Decision of Deputy State Coroner Lee

CORONIAL LAW – cause and manner of death, exertional heat stroke, exertional heat illness, hyperthermia, seizures, National Rugby League, Heat Policy, Manly Wa

Last updated:

02 May 2025