EFTA00080411¶
Page 1057¶
INCIDENT REPORT¶
JAN.17¶
U.S. DEPARTMENT OF JUSTICE¶
FEDERAL BUREAU OF PRISONS¶
Part I – Incident Report¶
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Institution: MCC New York Incident Report Number:
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Inmate’s Name: Epstein, Jeffery Register Number: 76318-054 Date of Incident: 07/23/2019 Time: 1:27am
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Place of Incident: SHU M-Tier Cell 124 Assignment: Unassigned Unit: ZA
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Incident: Self-Mutilation Prohibited Act Code(s): 228
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Description of Incident (Date: 07/23/2019 Time: 1:27AM Staff became aware of incident):
On July 23, 2019 at approx. 1:27 am while working in the Special Housing Unit Myself and SIO Silva heard noise coming from the M tier cell 124. Upon arrival IIM’s Epstein, Jeffrey#76318-054 cell mate (IM Tartaglia#76318-054) was at the door stating IIM Epstein, Jeffrey#76318-054 had attempted to harm himself. I kept a visual white SIO Silva grabbed the door keys and called for assistance. After Securing IIM Tartaglia#76318-054 and removing him from the cell, unfurled them placed IIM Epstein on his side and removed a rope from his neck. IIM was breathing at this time but unresponsive. Addition staff arrived IIM was then removed from SHU.¶
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Typed Name/Signature of Reporting Employee: Masullo_ Date and Time: 07/23/2019 8:30am
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Incident Report Delivered to Above Inmate by (Type Name/Signature): Date Incident Report Delivered: 7-20-19 Time Incident Report Delivered: 12:14pm
Part II – Committee Action¶
- Comments of Inmate to Committee Regarding Ab Incident:
IIM was read his rights and stated, “I do not want to be involved.”¶
- A. It is the finding of the committee that you:
- Commitmed the Prohibited Act as charged
- Did not commit a prohibited Act
- Committed the Prohibited Act Code(s)
B. The Committee is referring the Charge(s) to the DHO for further action.¶
C. The Committee advised the inmate of its finding and of the right to file an appeal within 20 calendar days.¶
- Committee Decision Is Based On Specific Evidence As follows:
Your request lies to the DHO based on the current evidence.¶
- Committee action and recommendation if referred to DHO (Contingent upon DHO finding inmate committed prohibited act):
We recommend our time class of permitted proceedings.¶
- Date and Time of Action: 10/19/18 5:17 (The UDC Chairman’s signature certifies who sat on the UDC and that the completed report accurately reflects the UDC procedures).
Chairman (Typed/Tailor/Signature): Member (Typed Name): Member (Typed Name):¶
INSTRUCTIONS: All items outside of heavy rule are for staff use only. Begin entries with the number 1 and work up. Entries not completed will be voided by staff.¶
Distribute: Original-Central File Record; COPY-1-DHO; COPY-2-Inmate after UDC Action; COPY-3-Inmate within 24 hours of Part I Preparation¶
Prescribed by P5270 Replaces BP-A0288 of AUG 11¶
EFTA00080412¶
Page 1058¶
| Part III - Investigation | 22. Date And Time Investigation Began7/30/2019 12:40PM |
| 23. Inmate Advised Of Right To Remain Silent: You Are Advised Of Your Right To RemainSilent At All Stages Of The Disciplinary Process But Are Informed That Your Silence MayBe Used To Draw An Adverse Inference Against You At Any Stage Of The InstitutionalDisciplinary Process. You Are Also Informed That Your Silence Alone May Not Be Used ToSupport A Finding That You Have Committed A Prohibited Act.The Inmate Was Advised Of The Above Right By(Date/time)7/30/201912:40PM | |
| 24. Inmate Statement And Attitude: Inmate Epstein, Jeffery #76318-054 was advised ofhis rights and understood his rights as read.Inmate Epstein stated“I no comment atthis time”. Inmate Epstein had a poor attitude.Inmate Epstein was furnished a copy ofthis report. | |
| 25. Other Facts About The Incident, Statements Of Those Persons Present At Scene,Disposition Of Evidence, Etc. No witnesses requested.Please see attached staffmemorandum, photograph and medical assessment.This incident report was served late due toinmate on suicide watch. | |
| 26. Investigator's Comments And Conclusions:Based on the writer's description of theincident in block #11, of the incident report, This investigator concludes the reportto be accurate as written and the charge warranted. | |
| 27. Action Taken:Inmate Epstein is in his special housing unit status, this reportreferred to UDC for further disposition. | |
EFTA00080413¶