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 61-70 of 96 results

Recommended

Inquest into the death of Alex BRAES

Decision of Deputy State Coroner Ryan

CORONIAL LAW: death of a young man - cause of death sepsis - was clinical care at Broken Hill Base Hospital adequate - were arrangements or airlift to a tertiary hospital appropriate - recommendations
Recommended

Inquest into the death of WX

Decision of

CORONIAL LAW - mental health and substance use disorder; risk of harm to self or others; firearms licence; medical assessment process
Recommended

Inquest into the death of GH

Decision of Deputy State Coroner Huntsman

CORONIAL LAW, unlicensed shooter, try shooting course, P650 forms, Firearms Registry oversight, notification procedures, risk of harm to self or others, clauses 101 and 104 of Firearms regulation 2017
Recommended

Inquest into the death of Robert Fennell

Decision of Deputy State Coroner Kennedy

CORONIAL LAW - death in custody - cause and manner of death
Recommended

Inquest into the death of James ROBERTS

Decision of Deputy State Coroner Grahame

CORONIAL LAW - Cycling death - bicycle helmet - star system rating with respect to bicycle helmets
Recommended

Inquest into the death of Sky HEFFERNAN

Decision of Deputy State Coroner Forbes

CORONIAL LAW - Death as a result of a police operation - traffic stop - L plater
Recommended

Inquest into the death of Diane EASTCOTT

Decision of Deputy State Coroner Lee

CORONIAL LAW - care and treatment; Ryde Hospital; Macquarie Hospital; Lavender House; concurrent administration of contraindicated medication; verapamil; metoprolol; electronic prescription system; eMeds; pharmacist review; discharge summary;
Recommended

Inquest into Anna Bay Helicopter Crash

Decision of Deputy State Coroner Huntsman

Coronial law, missing persons, helicopter crash, pilot error, spatial disorientation, weather conditions
Recommended

Inquest into the death of Tateolena TAUAIFAGA

Decision of Deputy State Coroner Ryan

CORONIAL LAW - death of a child in the course of a police pursuit; should the policeand#39;s covert investigation of the driver have been allowed to continue; was the planning for an intercept of the driver adequate; should police vehicles have followed
Recommended

Inquest into the death of Marcus Harrison

Decision of Deputy State Coroner Baptie

CORONIAL LAW, and#39;newand#39; or and#39;freshand#39; inquest, cause and manner of death

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Coronial findings and recommendations

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