EFTA00080407 Page 0797 # Form 583 Report of Incident Incident #: NYM-19-0076 Submitted By: Skipper-Sott, S. Date/Time Of Incident: 7/23/2019 1:27 AM # Section 1: General Information Staff Aware Date: 7/23/2019 1:27 AM FBI Notified: No USMS Notified: No Indicate Where Incident Occurred: Main Facility Location Level 1: SHU Level 2: Housing Unit, Special (SHU) Level 3: 9 SOUTH SHU | Type Of Incident | Institution Locked Down: No | | :--- | :--- | | □ Assault On Inmate | Modified Operations: No | | □ Assault On Staff | Cause Of Incident Known? No | | □ Assault, Attempted On Inmate | Cause Of Incident | | □ Assault, Attempted On Staff | □ Alcohol | | □ Disruptive Behavior | □ Commissary | | □ Escape From Non-secure Facility | □ Debts | | □ Escape From Secure Facility | □ Disrespect Issue | | □ Escape, Attempted From Non-secure Facility | □ Drugs | | □ Escape, Attempted From Secure Facility | □ Ethnic Conflict | | □ Fight | □ Food Issue | | □ Inmate Death | □ Geographical Conflict | | □ Institution Disturbance | □ Interfering with Staff duties | | □ Introduction Of Contraband | □ Property Issue | | □ Lethal Weapons Discharge | □ Racial Conflict | | ✔ Self Mutilation Method: Laceration | □ Recreation Equipment | | □ Setting A Fire | □ Religious Issue | | □ Sexual Act, Non-consensual On Inmate | □ Security Threat Group Conflict | | □ Sexual Assault On Staff | □ Sexual Pressure | | □ Sexual Contact, Abusive On Inmate | □ Sporting Events | | □ Sexual Harassment, Repetitive | □ Telephone | | □ Staff Homicide | □ Theft | | □ Strike, Food | □ Visiting | | □ Strike, Work | □ Work Issue | ✔ Suicide Attempt Method: Hanging/Asphyxiation □ Use Of Force □ Use Of Force/Applications Of Restraints □ Use of Restraints, Pregnant/Postpartum Section 2: Inmates Involved ## UNCLASSIFIED/LIMITED OFFICIAL USE ONLY/LAW ENFORCEMENT SENSITIVE This document is marked Unclassified/Limited Official Use Only/Law Enforcement Sensitive and may be disseminated, with proper attribution, to active Law Enforcement, DOD, or U.S. Intelligence Agencies. This document, or any segment/attachment thereof, may not be released without the approval of the Bureau of Prisons to any media sources, any non-law enforcement entity, the general public or those without a “need to know.” It contains information that may be exempt from public release under the provisions of the Privacy Act (5 U.S.C. 552). 1 of 4 EFTA00080408 Page 0798 Form 583 Report of Incident
Incident No. NYM-190076Submitted By: Skipper-Sott, S.Date/Time Of Incident
Reg #: 76318054Name: EPSTEIN, JEFFREY
Role: VictimMedical Attention Required: NoInjury Category: Minor Injury
Weapon(per inmate): NoUse of Force(per inmate): NoChemical Used(per inmate): No
CIMS: NoSTG: Yes
Restraints(per inmate): Escort Only
Death(per inmate): No
Reg #: 78514054Name: TARTAGLIONE,NICHOLAS
Role: Not KnownMedical Attention Required: NoInjury Category: No Injury
Weapon(per inmate): NoUse of Force(per inmate): NoChemical Used(per inmate): No
CIMS: YesSTG: Yes
Restraints(per inmate): No
Death(per inmate): No
Section 3: Others Involved
Name:Person Type: Staff
Medical Attention Required: NoDeath: No
Injury Category: No InjuryStaff Injury by Inmate: No
Sexual Assault: No
Name:Person Type: Staff
Medical Attention Required: NoDeath: No
Injury Category: No InjuryStaff Injury by Inmate: No
Sexual Assault: No
Name:Person Type: Staff
Medical Attention Required: NoDeath: No
Injury Category: No InjuryStaff Injury by Inmate: No
Sexual Assault: No
Name:Person Type: Staff
Medical Attention Required: NoDeath: No
Injury Category: No InjuryStaff Injury by Inmate: No
Sexual Assault: No
Name:Person Type: Staff
Medical Attention Required: NoDeath: No
## UNCLASSIFIED/LIMITED OFFICIAL USE ONLY/LAW ENFORCEMENT SENSITIVE This document is marked Unclassified/Limited Official Use Only/Law Enforcement Sensitive and may be disseminated, with proper attribution, to active Law Enforcement, DOD, or U.S. Intelligence Agencies. This document, or any segment/attachment thereof, may not be released without the approval of the Bureau of Prisons to any media sources, any non-law enforcement entity, the general public or those without a “need to know.” It contains information that may be exempt from public release under the provisions of the Privacy Act (5 U.S.C. 552). 2 of 4 EFTA00080409 Page 0799 ## Form 583 Report of Incident Incident #: NYM-19-0076 Submitted By: Skipper-Sott, S. Date/Time Of Incident: 7/23/2019 1:27 AM Injury Category: No Injury Staff Injury by Inmate: No Sexual Assault: No
Section 4: Lethal Weapon Discharge
No data found.
Section 5: Use of Force
No data found. ## Section 6: Description of Incident DESCRIPTION OF INCIDENT (If Use Of Force, include details such as name of supervisor applying the chemical agent and/or restraints, reasons for use of hard restraints instead of soft restraints, etc.) Please be clear about cause(s) of the incident in your description. On July 23, 2019 at approximately 1:27 a.m., while making routine rounds inside the Special Housing Unit, staff observed inmate Epstein, Jeffrey Reg. No. 76318-054, lying in the fetal position on the floor with a homemade fashioned noose around his neck. Inmate Epstein was breathing heavily, however appeared to be responsive. Inmate Epstein was directed by staff to stand and submit to restraints. Inmate Epstein would not stand on his own and would not comply with staff directives. Staff entered the cell and placed inmate Epstein in both hand and leg restraints. Inmate Epstein was searched, metal detected, placed on a gurney and escorted from the scene without further incident. Inmate Epstein was photographed, medically examined and determined to have sustained a circular line of erythema at the base of the neck and friction marks on the front of neck, and small 2cm erthema on left knee. Inmate Epstein was placed on suicide watch with all necessary notifications made. There were no staff injuries reported. Section 7: Attachments
File DateFile NameOriginal Entered ByOriginal Loc. Code
7/24/2019STAFF ROSTER.pdfTF18813NYM
7/24/2019STAFF MEMO.pdfTF18813NYM
7/24/2019STAFF MEMO.pdfTF18813NYM
7/24/2019STAFF MEMO.pdfTF18813NYM
7/24/2019OPS LT MEMO.pdfTF18813NYM
7/24/2019MEDICAL ASSESSMENT.pdfTF18813NYM
7/24/2019MATERIAL HANDLER STAFF MEMO.pdfTF18813NYM
7/24/2019INMATE TARTAGLIONE PHOTOS.pdfTF18813NYM
7/24/2019INMATE EPSTEIN PHOTOS.pdfTF18813NYM
7/24/2019INMATE EPSTEIN IR.pdfTF18813NYM
7/24/2019ADO.pdfTF18813NYM
UNCLASSIFIED/LIMITED OFFICIAL USE ONLY/LAW ENFORCEMENT SENSITIVE This document is marked Unclassified/Limited Official Use Only/Law Enforcement Sensitive and may be disseminated, with proper attribution, to active Law Enforcement, DOD, or U.S. Intelligence Agencies. This document, or any segment/attachment thereof, may not be released without the approval of the Bureau of Prisons to any media sources, any non-law enforcement entity, the general public or those without a “need to know.” It contains information that may be exempt from public release under the provisions of the Privacy Act (5 U.S.C. 552). 3 of 4 EFTA00080410 Page 0800 ## Form 583 Report of Incident Submitted By: Skipper-Sott, S. Date/Time Of Incident: 7/23/2019 1:27 AM Approved By: SUBMITTED Skipper-Sott, S. ## UNCLASSIFIED/LIMITED OFFICIAL USE ONLY/LAW ENFORCEMENT SENSITIVE This document is marked Unclassified/Limited Official Use Only/Law Enforcement Sensitive and may be disseminated, with proper attribution, to active Law Enforcement, DOD, or U.S. Intelligence Agencies. This document, or any segment/attachment thereof, may not be released without the approval of the Bureau of Prisons to any media sources, any non-law enforcement entity, the general public or those without a “need to know.” It contains information that may be exempt from public release under the provisions of the Privacy Act (5 U.S.C. 552). 4 of 4