Coronial findings 

To access a finding not listed here, please make application (DOC , 61.5 KB) to the Court. In some inquests recommendations are made to Ministers and Government and non-government agencies.

Showing 1-10 of 74 results

  • Recommended
    Decision of Deputy State Coroner Truscott
    Coronial law, cause and manner of death
  • Recommended
    Decision of Deputy State Coroner Truscott
    Coronial law, cause and manner of death, death in custody, First Nations prisoner, paracetamol toxicity, care and treatment, delay, CCTV
  • Recommended
    Decision of Deputy State Coroner Lee
    CORONIAL LAW - cause and manner of death - endotracheal tube - unrecognised oesophageal intubation - tracheal intubation - provision of anaesthesia care to paediatric patients - qualifications and experience of paediatric anaesthetists -
  • Recommended
    Decision of Deputy State Coroner Truscott
    Coronial law, defective Takata airbags, product safety, voluntary recall
  • Recommended
    Decision of Deputy State Coroner Grahame
    CORONIAL LAW - Death in custody, natural causes
  • Recommended
    Decision of Deputy State Coroner Lee
    CORONIAL LAW - death in custody, cause and manner of death
  • Recommended
    Decision of Deputy State Coroner Grahame
    CORONIAL LAW - Death in custody, natural causes
  • Recommended
    Decision of State Coroner O'Sullivan
    CORONIAL LAW - Death of person in course of police operation - mandatory inquest - ss23 and 27 Coroners Act 2009 - Whether applicable NSW Police Force policies and procedures were followed - Response of involved officers
  • Recommended
    Decision of Deputy State Coroner Lee
    CORONIAL LAW - Cause and manner of death, information transfer from a pre-hospital setting to hospital setiting, referral letter to hospital, senior clinician review, pericarditis, patient handover, triage, Ambulance Electronic Medical
  • Recommended
    Decision of Deputy State Coroner Ryan
    CORONIAL LAW - death of a person in lawful custody - adequacy of custodial health care
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Last updated:

18 Aug 2021

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