Coroners Court New South Wales

Coronial findings and recommendations

To access a finding not listed here, please make application (DOC, 62.0 KB) to the Court. In some inquests recommendations are made to Ministers and Government and non-government agencies.

Showing 1-10 of 79 results

  • Recommended
    Decision of Deputy State Coroner Lee
    CORONIAL LAW – cause and manner of death, time of death, conduct of postmortem examinations in fire-related deaths, carboxyhaemoglobin concentration, Forensic Pathology Code of Practice, National Fire Protection Association 921 Guide for Fire and
  • Recommended
    Decision of Deputy State Coroner Grahame
    CORONIAL LAW - Death of person in course of police operation - mandatory inquest - ss 23 and 27 Coronerand#39;s Act - Whether applicable New South Wales Police Force Policies and Procedures were followed - Response of involved officers - Overview of
  • Recommended
    Decision of Deputy State Coroner Grahame
    CORONIAL LAW - manner and circumstances of death - death by fire - whether fire deliberately lit - fire doors propped open - fire safety measures in public housing blocks
  • Recommended
    Decision of Deputy State Coroner Truscott
    Coronial Law, cause and manner of death, natural causes, death in lawful custody, aged care.
  • Recommended
    Decision of State Coroner O'Sullivan
    Coronial Law - death in custody, mandatory inquest, manner of death
  • Recommended
    Decision of Deputy State Coroner Lee
    Coronial Law - whether missing person now deceased, date and place of death, cause and manner of death, missing persons investigations, Unsolved Homicide Team, Missing Persons Standard Operating Procedures
  • Recommended
    Decision of State Coroner O'Sullivan
    Coronial Law - death in custody, mandatory inquest, manner of death
  • Recommended
    Decision of Deputy State Coroner Ryan
    Coronial Law - death by hanging of an involuntary inpatient, assessment of risk for self-harm, decision to discharge, nature and quality of nursing observations
  • Recommended
    Decision of Deputy State Coroner Forbes
    Coronial Law - cause and manner of death, care and treatment post hysteroscopy, pulmonary embolism
  • Recommended
    Decision of Deputy State Coroner Truscott
    Coronial law, unascertained cause of death, pre-surgical anaesthetic assessment, analgesia, post surgical nursing observations
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Last updated:

05 Apr 2023

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