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 91 - 100 of 975 results

Inquests into the deaths of Mona Lisa and Jacinta Smith (1.1 MB,PDF File)

Decision of State Coroner O'Sullivan

CORONIAL LAW – Aboriginal; First Nations; Wakamurra; Muruwari; Kunya; Bourke; Enngonia; single vehicle collision; rollover; inquest resumed; s.79 Coroners Act;

Inquest into the death of Baby Q (1.2 MB,PDF File)

Decision of Deputy State Coroner Grahame

CORONIAL LAW – manner and cause of death – mental illness – family violence and neglect – family known to the NSW Department of Communities and Justice and the

Inquest into the death of Michael Murray (429.4 KB,PDF File)

Decision of Deputy State Coroner Kennedy

CORONIAL LAW – Death in police operation – death as a result of a fall from height – borderline personality disorder – BPD – Dialectical Behaviour Therapy – DB

Inquest into the death of Everett Carleton (1.3 MB,PDF File)

Decision of Deputy State Coroner Forbes

CORONIAL LAW – cause and manner of death of a baby at birth–ultrasound report- continuous CTG monitoring-caesarean section-separation of the umbilical cord-tra

Inquest into the death of Saso RISTEVSKI (734.6 KB,PDF File)

Decision of State Coroner O'Sullivan

CORONIAL LAW - cause and manner of death, homicide

Inquest into the death of Todd McKenzie (1.6 MB,PDF File)

Decision of Deputy State Coroner Grahame

CORONIAL LAW – Death in police operation – gunshot wounds by police officer – appropriateness of actions of NSW Police Force officers – use of “breach and hold

Inquest into the death of Monika Chetty (111.6 KB,PDF File)

Decision of Magistrate Truscott

CORONIAL LAW - Cause and manner of death - open finding as to manner - cause of death acid burns - application of acid by another - immigration fraud - gamblin

Inquests and Inquiries into the 2019/2020 NSW Bushfire Season - Volume 1 (7.5 MB,PDF File)

Decision of State Coroner O'Sullivan

Inquests and Inquiries into the 2019/2020 NSW Bushfire Season - Volume 1

Inquests and Inquiries into the 2019/2020 NSW Bushfire Season - Volume 2 (6.0 MB,PDF File)

Decision of State Coroner O'Sullivan

Inquests and Inquiries into the 2019/2020 NSW Bushfire Season - Volume 2

Inquest into the death of MO (2.1 MB,PDF File)

Decision of Deputy State Coroner Forbes

CORONIAL LAW- death of six-year-old boy of a methadone overdose in his home - Opioid Treatment Program - prescribing of takeaway methadone - Department of Comm

Last updated:

02 May 2025