EFTA00039358 ## BP-S715.012 REFERRAL OF INCIDENT (INTERNAL AFFAIRS) AUG 01 U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS

Date of IncidentAugust 10, 2019	Time of Incident6:33 a.m.
Place Incident OccurredMCC New York
Allegation(s)Inattentive to DutyFailure to Follow Policy
Source of Allegation(s)Lieutenant
Subject of Incident's Information:
Full Name	Title and GradeMaterial Handler ForemanCorrectional Officer GS-5
Victim (Inmate) Information (If applicable)
Full Name ):	Title/Reg. No.
SUMMARY OF INCIDENT:(Provide a brief, but complete summation of incident including names of any witnesses)On August 10, 2019, at approximately 6:33 a.m. inmate Epstein, Jeffrey 73618-054 was found unresponsive in his assigned cell in the Special Housing Unit.Inmate Epstein was pronounced dead at 7:36 a.m. by the Emergency room physician at the local hospital.During a conversation with the Operations Lieutenant, Officer stated that she and Officer did not conduct the 3 a.m. and 5 a.m. count.The Operations Lieutenant also had a conversation with Officer and he stated "we messed up".Ms. and Mr. were both asked to provide memorandums for the incident,they both stated they were traumatized and needed to go home.They also stated that they wanted to contact the Union President to review any memorandum they would have to write. Describe any action taken locally prior to OIA referral:Are local, state or federal authorities involved?
Classification 3 Case___YesX___No
Printed Name and Signature of Person Preparing Referral of IncidentWarden
CEO's and SignatureWarden	LocationMCC New York	Date8/10/19
NOTE:Please fax all pertinent information as soon as possible after completion of the telephonic referral.Include all statements,memos,affidavits,medical reports,personnel actions as may apply.