EFTA00080403.pdf

Page 0:.72 Form 583 Report of Incident Incident ti: NYM-19- Submitted By: C076 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: Location Level 1: SHU Type_Oftncident K Assault On Inmate K Assault On Staff K Assault, Attempted On Inmate K Assault, Attempted On Staff K Disruptive Behavior K Escape From Non-secure Facility K Escape From Secure Facility K Escape, Attempted From Non-secure Facility K Escape. Attempted From Secure Facility K Fight K Inmate Death K Institution Disturbance K Introduction Of Contraband K Lethal Weapons Discharge K Self Mutilation K Setting A Fire K Sexual Act, Non-consensual On Inmate K Sexual Assault On Staff K Sexual Contact, Abusive On Inmate K Sexual Harassment, Repetitive K Staff Homicide K Strike, Food K Strike, Work K Suicide Attempt K Use Of Force K Use Of Force/Applications Of Restraints K Use of Restraints, Pregnant/Postpartum Method: Hanging/Asphyxiation No Indicate Where Incident Occurred: Main Facility Level 2: Housing Unit, Special (SHU) Level 3: 9 SOUTH SHU Institution Locked Down: No Modified Operations: No Cause Of Incident Known? No Cause Of Incident K Alcohol K Commissary K Debts K Disrespect Issue K Drugs K Ethnic Conflict K Food Issue K Geographical Conflict K Interfering with Staff duties K Property Issue K Racial Conflict K Recreation Equipment K Religious Issue K Security Threat Group Conflict K Sexual Pressure K Sporting Events K Telephone K Theft K Visiting K Work Issue 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 attnbution. 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 3 EFTA00080403 Page C073 Form 583 Report of Incident Incident NYM-19- Submitted By: 0076 Date/Time Of Incident: 7/23/2019 1:27 AM Reg ti: 76318054 Name: EPSTEIN, JEFFREY Role: Victim Medical Attention Required: No Weapon (per inmate): No Use of Force (per inmate): No CIMS: No STG: Yes Restraints (per inmate): Escort Only Death (per inmate): No Reg #: 78514054 Name: TARTAGLIONE, NICHOLAS Role: Not Known Medical Attention Required: No Weapon (per inmate): No Use of Force (per inmate): No CIMS: Yes STG: Yes Restraints (per inmate): No Death (per Inmate): No Injury Category: Minor Injury Chemical Used (per inmate): No Injury Category: No Injury Chemical Used (per inmate): No Section 3: Others Involved Name: Medical Attention Required: No Injury Category: No Injury Sexual Assault: No Name: Medical Attention Required: No Injury Category: No Injury Sexual Assault: No Name: Medical Attention Required: No Injury Category: No Injury Sexual Assault: No Name: Medical Attention Required: No Injury Category: No Injury Sexual Assault: No Name: Medical tten on equired: No Injury Category: No Injury Sexual Assault: No Person Type: Staff Death: No Staff Injury by Inmate: No Person Type: Staff Death: No Staff Injury by Inmate: No Person Type: Staff Death: No Staff Injury by Inmate: No Person Type: Staff Death: No Staff Injury by Inmate: No Person Type: Staff Death: No Staff Injury by Inmate: No Name: Person Type: Staff Medical Attention Required: No Death: 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. Intelltgence 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 3 EFTA00080404 east\ Form 583 Report of Incident Incident #: NYM-19- 00M Submitted By: 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 approx. 1:27 a.m., a call for assistance on the Special Housing Unit was announced by the Control Center. Upon my arrival I was informed that an inmate had attempted suicide and proceeded to cell, Z0S-124LAD. I observed inmate Epstein, Jeffrey #76318-054 lying in the fetal position on the floor of his cell wearing a t-shirt and boxers. He was breathing heavily and was snoring. I called out to inmate Epstein and observed him flicker his eyes and continue snoring. His neck was red with no abrasions. I observed no further injuries to his person. An attempt was made to get the inmate to stand on his own with negative results. The inmate was placed in hand restraints and staff was directed to retrieve the stretcher. As inmate Epstein was being placed on the stretcher by responding staff, he would open his eyes and observe staff. Wien staff made eye contact with him, he would hurriedly shut his eyes. The inmate was taken to HA-Unit, dressed in the suicide smock and placed on suicide watch. Upon the arrival of medical staff, inmate Epstein was examined and treated by for a circular line of erythema at the base of the neck, one section on the front with marks of friction an a sma e ema on his left knee. Section 7: Attachments Filo Date File Name No data found. Approved By: NOT COMPLETED : Ofigifidir*Wpas_. 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 segmenVattachment 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 3 EFTA00080405 )age 0106 , QTY.' INCIDENT REPORT J.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS 1 Institution MCC New York 2. Inmate's Name: Epstein Jeffery b. Mace of Incident: SHU M-Tier Cell 124 9. In ent Self-Mutilation 3 Register Number: 76318-054 7. Assignment: Unassigned - I Part I ncident rt Repo ralent Report Numbe 4. Date of Incident: 07/23/2019 (fkact :o 1:27am 8. Link ZA 10. Prohibited Act Code (s): 228 11. Description of Incident (Date: 07/23/2019 Time: 1:27AM Staff became aware of incident): On July 23.2019 at approx. 1:27am While working in the Special Housing Unit Myself and S/O Silva heard noise coming from the M tier cell 124.Upon arrival UM's Epsteinjeffery#76318-054 cell mate I/M Tartaglione#78514-0541was at the door stating IIM Epstein.Jeffen076318-054 had attempted to hang himself. I kept a visual while 5/0 Silva grabbed the door keys and called fa assistance. Alter Secunng UM Tana4lionea78514-054 and removing him from the celli entered then placed UM Epstein on his side and removed-a orange homemade rope from his necitl/M was breathing at this lime But unresponsive. Addition staff an. arrived UM was then removed from SHU 12. Typed Name/Sig Masullo.J 14. Incident Repo (Type Name/Sig ): op rung Employee: 13. Date And Time 07/23/2019 3:30am to Above Inmate By 15. Date Incident ReporICklivere 18. Time Indent Report Oe were Part it - Committee Action 17. Comments of Inmate to Committee Regarding Above Incident: 18. A. It is the finding of the committee that you: iEt Committed the Prohibited Act as charged: Did not Commit a Prohibited Act. Committed Prohibited Act Code (s). B. -Ca The Committee is referring the Charge(s) to the DHO for further Hearpia_, C. I I The Committee advised the Inmate of its finding and of the right to file an appeal within 20 calendar days. 19. Committee Decision is Based on Specific Evidence as Follows: tit 20. Committee action and/or recommendation if referred to DHO (Contingent upon 0140 finding inmate committed prohibited act): 21 Date and Time of Action: (The UDC Chairman=s signature certifies who sal on the UDC and that the completed report accurately reflects the UDC proceedings). Chairman (Typed Name/Signature): Member (Typed Name): Member (Typed Name): INSIRUCTIONS: All items outside of eavy rule are for staff use only. Begin entries with the number 1 and work up. Entries not completed wilt 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 PDF Prescribed by P5270 Replaces BP-A0288 of AUG 11 EFTA00080406 Page 0107 Part III - Investigation 22. Date And Time Investigation Began 23. Inmate Advised Of Right To Remain Silent: You are advised of your right to remain silent at all stages of the discipline process. Your silence may be used to draw an adverse inference against you at any stage of the discipline process. Your silence alone may not be used to support a finding that you have committed a prohibited act. The Inmate Was Advised Of The Above Right By At (Date/time) 24. Inmate statement and attitude 25. Other facts about the incident, statements of those persons present at scene, disposition of evidence, etc. 26. Investigator's comments and conclusions 27. Action taken Date and Time Investigation Completed Printed Name/Signature Of Investigator Title PDF Prescribed by P5270 Replaces BP-S288.052 Of MAY 94 EFTA00080407 Page 0797 Form 583 Report of Incident Incident #: NYM-19- Submitted By: Skipper-Sott, S. 0076 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 Institution Locked Down: No Type Of Incident O Assault On Inmate O Assault On Staff O Assault. Attempted On Inmate O Assault. Attempted On Staff O Disruptive Behavior O Escape From Non-secure Facility O Escape From Secure Facility O Escape, Attempted From Non-secure Facility O Escape. Attempted From Secure Facility O Fight O Inmate Death O Institution Disturbance O Introduction Of Contraband O Lethal Weapons Discharge Z Self Mutilation O Setting A Fire O Sexual Act. Non-consensual On Inmate O Sexual Assault On Staff O Sexual Contact, Abusive On Inmate O Sexual Harassment, Repetitive O Staff Homicide O Strike, Food O Strike, Work 0 Suicide Attempt Method: Hanging/Asphyxiation O Use Of Force O Use Of Force/Applications Of Restraints O Use of Restraints. Pregnant/Postpartum Modified Operations: No Cause Of Incident Known? No Cause Of Incident O Alcohol O Commissary O Debts O Disrespect Issue O Drugs O Ethnic Conflict O Food Issue O Geographical Conflict O Interfering with Staff duties O Property Issue O Racial Conflict Method: Laceration 0 Recreation Equipment u Religious Issue ci Security Threat Group Conflict O Sexual Pressure 0 Sporting Events O Telephone O Theft O Visiting O Work Issue 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 segmenVattachment 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 #: NYM-19- Submitted By: Skipper-Soft, S. 0076 Date/Time Of Incident: 7/23/2019 1:27 AM Reg #: 76318054 Name: EPSTEIN, JEFFREY Role: Victim Medical Attention Required: No Weapon (per inmate): No Use of Force (per inmate): No CIMS: No STG: Yes Restraints (per inmate): Escort Only Death (per inmate): No Reg #: 78514054 Name: TARTAGLIONE, NICHOLAS Role: Not Known Medical Attention Required: No Injury Category: No Injury Weapon (per inmate): No Use of Force (per inmate): No Chemical Used (per inmate): No CIMS: Yes STG: Yes Restraints (per inmate): No Death (per inmate): No Injury Category: Minor Injury Chemical Used (per inmate): No Section 3: Others Involved Name: Person Type: Staff Medical Attention Required: No Death: No Injury Category: No Injury Staff Injury by Inmate: No Sexual Assault: No Name: Person Type: Staff Medical Attention Required: No Death: No Injury Category: No Injury Staff Injury by Inmate: No Sexual Assault: No Named Person Type: Staff Medical Attention Required: No Death: No Injury Category: No Injury Staff Injury by Inmate: No Sexual Assault: No Name: Person Type: Staff Medical Attention Required: No Death: No Injury Category: No Injury Staff Injury by Inmate: No Sexual Assault: No Name: Person Type: Staff Medical Attention Required: No Death: No Injury Category: No Injury Staff Injury by Inmate: No Sexual Assault: No Name: Person Type: Staff Medical Attention Required: No Death: 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 segmenVattachment 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- Submitted By: Skipper-Sott, S. 0076 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 Date File Name Original Entered By Original Loc. Code 7/24/2019 STAFF ROSTER.pdf TF18813 NYM 7/24/2019 STAFF MEMO.pdf TF18813 NYM 7/24/2019 STAFF MEMO.pdf TF18813 NYM 7/24/2019 STAFF MEMO.pdf TF18813 NYM 7/24/2019 STAFF MEMO.pdf TF18813 NYM 7/24/2019 OPS LT MEMO.pdf TF18813 NYM 7/24/2019 MEDICAL ASSESSMENT. f TF18813 NYM 7/24/2019 MATERIAL HANDLER STAFF TF18813 NYM MEMO.pdf 7/24/2019 INMATE TARTAGLIONE PHOTOS.pdf TF18813 NYM 7/24/2019 INMATE EPSTEIN PHOTOS.pdf TF18813 NYM 7/24/2019 INMATE EPSTEIN IR.pdf TF18813 NYM 7/24/2019 ADO.pdf TF18813 NYM 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 segmenVattachment 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 Incident #: NYM-19- 0076 Form 583 Report of Incident Submitted By: Skipper-Sott, S. Date/Time Of Incident: 7/23/2019 1:27 AM Approved By: SUBMITTED Skipper-Son. 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 segmenVattachment 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 EFTA00080411 )ane 1057 BP, A2/i6 JAN 17 U.S. DEPARTMENT OF JUSTICE INCIDENT REPORT FEDERAL BUREAU OF PRISONS Part I — Incident Repoli i. Institution: MCC New York Indent Report Number 2. Inmate's Name: Epstein , Jeffery 3. Register Number 76318-054 4. Date of Incident: 07/23/2019 5. Time: 1:27am 8. Place of Incident: Slip M-Tier Cell 124 7. Assignment: Unassigned 8. Uni: ZA 9. Incident: Self-Mutilation 10. Prohibited Ad Code (s): 228 11. Description of Incident (Date: 07/23/2019 Time: 1:27AM Staff became aware of Incident): On July 23.2019 at approx. 1:27arn While working In the Special Housing Unit Myself and S/0 Silva heard noise coming from the M tier cell 124.Upon arrival I/M's Bpsteiroeffery106318-054 cell mate (UM Tartagliaari78514 iS4)was at the door stating UM Epstein,Jeflerytt76318-054 had attempted to hang himself. I kept a visua while S/0 Silva grabbed the door keys and called for assistance. After Secunng TartagboneaTKIAZ34 and removing him from the cell) entered then placed UM Epstein on his side and removed a orange homemade rope from his nedc.I/M was breathing at this tine But unresponsive. Addition staff an arrived fM was then removed from SHU . 12. Typed Name/Sig Mastato,J porting Employee: 13. Date And-Time: 14. Madera Repo red to Above Inmat y re): IA (Type Name/S i 15. Dale Inoc ent Report Delivered. 7 - 5a -7 y Part II — Committee Action 18. Time Indent Report Delivered: rt- 1, Vt., 17. Comments of Inmate to Committee Regarding Above Incident: 1 ICCI a lus k csa.tjI ratst Can 18. A. It Is the finding of the committee that you: M Committed the Prohibited Ad as charged: Did not Commit a Prohibited Act Committed Prohibited Act Code (*). The Committee Is referring the Charge(s) to the OHO for further He C. I The Committee advised the inmate of Its finding and of the right to file an appeal within 20 calendar days- 19. Committee Decision Is Based on Speclic Evidence as Follows: ci20. ommittee action and/or recommendation if referred to DHO (Contingent upon DHO finding inmate committed profaned act): YU:ite— tierrin.i. ikv-ti putik;oOA.u.d ()Issas?... nualvusc cvs i crnuts $O, of, l' 1/4t.-T rinucci p an • ii SI 11 (The UDC Chairrnan=s signature certifies Mio sat on the UDC and thaethe completed repo 21. Date and Time of Action: 1 accurately reflects the UDC U )\ ant "ilia • 07/23/2019 3:30am IJOO tc- cit ersIgnareret: Member (Typed Name): Member (Typed Name): INSI RUCTIONS: All items outs,de of eavy rule are for staff use only. Begin en es with the number 1 and work up. Entries not completed wN be voided by staff. Distribute: Original-Central File Record: COPY-1-OHO: COPY-2-Inmate alter UDC Action: COPY 3-inmate within 24 hours of Pan I Preparation PDF Presaibed by P5270 Replaces BP-A0288 of AUG 11 EFTA00080412 Page 1058 Part III - Investigation 22. Date And Time Investigation Began 7/30/2019 12:40PM 23. Inmate Advised Of Right To Remain Silent: You Are Advised Of Your Right To Remain Silent At All Stages Of The Disciplinary Process But Are In •rmed That Your Silence May Be Used To Draw An Adverse Inference Against You At Any St •e Of The Institutional Disciplinary Process. You Are Also Informed That Your S ence Alone May Not Be Used To Support A Finding That You Have Committed A Prohibited pct The Inmate Was Advised Of The Above Right By (Date/time)7/30/2019 12:40PM 24. Inmate Statement And Attitude: Inmate Epstein, Jeffery #76318-054 was advised of his rights and understood his rights as read. Inmate Epstein stated "I no comment at this time". Inmate Epstein had a poor attitude. Inmate Epstein was furnished a copy of this report. 25. Other Facts About The Incident, Statements Of Those Persons Present At Scene, Disposition Of Evidence, Etc. No witnesses requested. Please see attached staff memorandum, photograph and medical assessment. This incident report was served late due to inmate on suicide watch. 26. Investigator's Comments And Conclusions: Based on the writer's description of the incident in block #11, of the incident report, This investigator concludes the report to be accurate as written and the charge warranted. 27. Action Taken: Inmate Epstein is in his special housing unit status, this report referred to UDC for further disposition. Date and Time Investig ion Completed 7/30/2019 12:45PM Printed Name, f Investigator Signature Title Lieutenant EFTA00080413