# Form 583 Report of Incident

Incident #: NYM-19- Submitted By:

Date/Time Of Incident: 7/23/2019 1:27 AM

0076

# Form 583 Report of Incident (cont.)

## Section 1: General Information

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:
[ ] Assault On Inmate
[ ] Assault On Staff
[ ] Assault, Attempted On Inmate
[ ] Assault, Attempted On Staff
[ ] Disruptive Behavior
[ ] Escape From Non-secure Facility
[ ] Escape From Secure Facility
[ ] Escape, Attempted From Non-secure Facility
[ ] Escape, Attempted From Secure Facility
[ ] Fight
[ ] Inmate Death
[ ] Institution Disturbance
[ ] Introduction Of Contraband
[ ] Lethal Weapons Discharge
[ ] Self Mutilation
[ ] Setting A Fire
[ ] Sexual Act, Non-consensual On Inmate
[ ] Sexual Assault On Staff
[ ] Sexual Contact, Abusive On Inmate
[ ] Sexual Harassment, Repetitive
[ ] Staff Homicide
[ ] Strike, Food
[ ] Strike, Work
[x] Suicide Attempt
Method: Hanging/Asphyxiation
[ ] Use Of Force
[ ] Use Of Force/Applications Of Restraints
[ ] Use of Restraints, Pregnant/Postpartum

Institution Locked Down: No
Modified Operations: No
Cause Of Incident Known?: No

Cause Of Incident:
[ ] Alcohol
[ ] Commissary
[ ] Debts
[ ] Disrespect Issue
[ ] Drugs
[ ] Ethnic Conflict
[ ] Food Issue
[ ] Geographical Conflict
[ ] Interfering with Staff duties
[ ] Property Issue
[ ] Racial Conflict
[ ] Recreation Equipment
[ ] Religious Issue
[ ] Security Threat Group Conflict
[ ] Sexual Pressure
[ ] Sporting Events
[ ] Telephone
[ ] Theft
[ ] Visiting
[ ] Work Issue

Section 2: Inmates Involved

# Form 583 Report of Incident (cont.)

## 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).

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# CONFIDENTIAL

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EFTA00035400

# Form 583 Report of Incident

Incident #: NYM-19-
0076

Submitted By:

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

Injury Category: Minor Injury
Chemical Used (per inmate): No

Restraints (per inmate): Escort Only

Death (per inmate): No

Reg#: Name:
Role: Not Known Medical Attention Required: No
Weapon (per inmate): No Use of Force (per inmate): No
CIMS: Yes STG: Yes

Injury Category: No Injury
Chemical Used (per inmate): No

Restraints (per inmate): No

Death (per inmate): No

# Form 583 Report of Incident (cont.)

## 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 Attention Required: No
Injury Category: No Injury
Sexual Assault: No

Name: Thomas, Michael
Medical Attention Required: 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

Person Type: Staff
Death: No

# Form 583 Report of Incident (cont.)

## 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).

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# CONFIDENTIAL

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# Form 583 Report of Incident

Incident #: NYM-19-
0076

Submitted By:

Date/Time Of Incident: 7/23/2019 1:27 AM

Injury Category: No Injury
Sexual Assault: No

Staff Injury by Inmate: 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.

# Form 583 Report of Incident (cont.)

## Section 6: Description of Incident (cont.)

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, Z05-124LAD. 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. When 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, MLP for a circular line of erythema at the base of the neck, one section on the front with marks of friction and a small erythema on his left knee.

# Form 583 Report of Incident (cont.)

## Section 7: Attachments

File Date File Name
No data found.

Original Entered By

Original Loc. Code

Approved By: NOT COMPLETED

## 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).

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# CONFIDENTIAL

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DEPARTMENT OF JUSTICE
FEDERAL BUREAU OF



# UNITEL TATES GOVERNMENT

Memorandum

FEDERAL BUREAU OF PRISONS

Metropolitan Correctional Center

150 Park Row

New York, New York 10007

July 23, 2019

MEMORANDUM FOR ALL CONCERNED

FROM:

SUBJECT: Possible Suicide Attempt

# UNITEL TATES GOVERNMENT

Memorandum (cont.)

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, Z05-124LAD. 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. When 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. While awaiting the arrival of an inmate companion, inmate Epstein sat on the edge of the bed and began moving forward as if he was attempting to fall over head first. When I looked away, he straightened up. As I turned to look at him again, he attempted the same act. I laid him down on the bed and directed him to cease his action or he would be placed in restraints for his safety. At that moment, he stated, "Okay, I won't do it again," and gave the thumbs up. Because of his unpredictable behavior, the decision was made to have a staff member observe inmate Epstein. I left HA-Unit in order to make staff notifications. Moments later, I spoke with Officer Clarke who stated that inmate Epstein was alert and had indicated that his cellmate, had attempted to kill him and had been harassing him. He stated that the inmate had indicated that he'd informed his attorney of this matter.

# UNITEL TATES GOVERNMENT

Memorandum (cont.)

I photographed and spoke with inmate who stated that he was asleep with his headphones on when he felt something hit his legs and said, "Jeff, what you're doing?" He didn't answer, so he got up, turned on the light and saw him with a string around his neck. He stated that he then called the guards and

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they ran down. Upon fu..ner questioning, inmate ated that he sleeps on the bottom bunk, but gave it to inmate Epstein because he's old. He stated that he sleeps on the floor on a mattress. He stated that when he got up, he couldn't remember if he sat up or stood up to check on Epstein. He stated that Epstein was sitting on the floor leaning to the side with his eyes opened, but wasn't responding. He stated that the last time he saw him he was snoring really loud.

Inmate Epstein stated that he came in from a legal visit at approx. 8:00PM and staff

handed him a copy of the Daily News. 'was on the floor reading the Daily News.



He stated that he had given it to him. He stated that

# UNITEL TATES GOVERNMENT

Memorandum (cont.)

mentioned that he'd

been in court all day in Westchester and was carrying on. At that point, inmate

paused as if he was making the story up as he went along, and stated that

stated, "These fucking niggers. This place is inhumane, I wish I could

report it. (Officer), that nigger hobbit mother fucker." He then turned to a page in

the Daily News that had his picture on it and stated that Epstein was worth seventy

seven million dollars. Epstein stated that he took his picture, balled it up and threw it in

the garbage. I asked inmate Epstein what happened prior to staff's arrival. He stated

that at approx. 1:00 AM, he'd gotten up to get a drink of water, as he gets up every

thirty minutes. He remember walking back to his bunk and waking up with staff there

in his cell. I asked if he'd waken up and seen staff, why didn't he respond when we

were calling out to him? He stated that he only remembered hearing himself making a

noise like snoring. When asked about the allegations against his cellmate, he stated

that he was told, if he hurt him, staff wouldn't care.

# UNITEL TATES GOVERNMENT

Memorandum (cont.)

Duty medical, was notified and briefed. It was determined no further medical attention was needed. A medical assessment was not conducted at the time of this incident, due to the fact, there was no medical staff available after 10:00 PM.

Upon the arrival of medical staff, inmate Epstein was examined and treated by, MLP for a circular line of erythema at the base of the neck, one section on the front with marks of friction and a small erythema on his left knee.

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ARTMENT OF STICE
RAL BURE E PRISO

# UNITED STATES GOVERNMENT
MEMORANDUM

Metropolitan Correctional Center, New York, New York

DATE: 07-23-2019

SUBJECT: Suicide Attempt Inmate Epstein#76318-054

On the above date at approx. 1:27am While working in the Special Housing Unit Myself and S/O heard noise coming from the M tier Cell 124. Upon arrival inmate Epstein's cell mate (I/m was at the door stating I/M Epstein #76318-054 had attempted to hang himself. I kept a visual while Officer grabbed door keys and called for assistance. After securing I/M and removing him from the cell, I entered then placed I/M Epstein on his side and removed an orange homemade rope from his neck. I/M was breathing at this time, But unresponsive. As I began chest compressions addition staff and Ops arrived, I/M was then removed from the Special Housing Unit without further incident.



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PARTMENT OF USTICE
SNOS

# UNITED STATES GOVERNMENT
MEMORANDUM

Metropolitan Correctional Center, New York, New York

DATE: July 23, 2019

TO: Operations Lieutenant,

FROM:

SUBJECT: Inmate Epstein reg# 76318-054

On July 23, 2019 at approximately 1:27 AM while assigned to the Special Housing Unit, myself and Senior Officer

Specialist

heard some noises coming from M Tier. Upon checking cell Z05-124 I observed inmate Epstein

reg# 76318-054 laying down near his bunk with what appeared to be a piece of handmade orange cloth around his

neck. I immediately called Control Center for staff assistance. Officer kept a visual of inmate Epstein while I

proceeded to retrieve the door keys and the cutter from the main cabinet located in the MPA. Officer

applied

restraints to his cell mate inmate |

I secured inmate

inside the bathroom while

Officer



provided assistance to inmate Epstein. When additional staff arrived inmate Epstein was removed from

his cell without further incident.

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# UNITED STATES GOVERNMENT
MEMORANDUM

Metropolitan Correctional Center, New York, New York

July 23, 2019

SUBJECT: Incident on 9-south

# UNITED STATES GOVERNMENT
MEMORANDUM (cont.)

On July 23, 2019 at approximately 1:27, 1, responded to a body alarm on the Special Housing Unit. While the 9-South officer was conducted rounds inmate Epstein, Jeffrey # 76318-054 was found in his cell with a noose around his neck and appeared to be unresponsive. I assisted with taking inmate Epstein #76318-054 from his cell and putting him on a stretcher. The inmate was taken to the second floor and placed on suicide watch, where he was monitored by staff. Moments afterwards, inmate Epstein became responsive. While observing inmate Epstein he sat up on the bed and began telling me that he think his Bunkie, tried to kill him. Inmate Epstein also stated that his Bunkie also tried to extort money from him and stated that if he didn't pay him that he would beat him up. He stated that this has been going on for a week. I asked inmate Epstein if he told staff about this and he told me no, that he'd only told his lawyer. He went on to say that his Bunkie told him that if he beat him up, because of his charges, the officers would not report it and because of this he was not comfortable telling the officers about the prolong threats and alleged attempts to extort him. I immediately reported this to the lieutenant.

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# UNITED STATES GOVERNMENT
MEMORANDUM (cont.)

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DEPARTMENT OF JUSTICE
EDERAL BUREAU OF



# UNITED STATES GOVERNMENT
MEMORANDUM

Metropolitan Correctional Center, New York, New York

DATE: July 23, 2019

TO:

FROM:

SUBJECT: Epstein, Jeffrey L/M# 76318-054

At approximately 1:27AM, I responded to a radio transmission asking for staff assistance on 9 South (Special Housing Unit). Once I was granted access to said unit I made my way to the location (M Tier) in which the disturbance stemmed from. I was told by Officer that Epstein, Jeffrey I/M# 76318-054 has attempted to hang himself. Upon arrival to cell number 124 in which he was housed, I noticed J. Epstein I/M# 76318-054 on the floor and Officer| placing restraints on him. Officer and I entered said cell attempting to assist in said process.

# UNITED STATES GOVERNMENT
MEMORANDUM (cont.)

Now that I am inside of the cell I notice that J. Epstein I/M# 76318-054 was snoring on the floor of his cell, he appeared to be asleep. We made several verbal commands for him to wake up and attempted to get him to his feet but they were all unsuccessful. After said attempts asked for a stretcher to be retrieve to safely remove him out of his cell. Once the stretcher arrived, Officer | |||||, Officer and I lifted J. Epstein I/M# 76318-054 off the floor and placed him on the stretcher. Once we secured him safely on the stretcher, Officer| and I lifted J. Epstein I/M# 76318-054 who is now on the stretcher safely out of 9 South (Special Housing Unit) and into the awaiting elevator.

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# UNITED STATES GOVERNMENT
MEMORANDUM (cont.)

DEPARTMENT OF JUSTICE
FEDERAL B BUREAU OF



UNITEL TATES GOVERNMENT

Memorandum

FEDERAL BUREAU OF PRISONS

Metropolitan Correctional Center

150 Park Row

New York, New York 10007

July 23, 2019

MEMORANDUM FOR ALL CONCERNED



FROM:



Material Handler Superviso

SUBJECT:

Possible Suicide Attempt

On July 23, 2019 at approx. 1:27 a.m., the Control Center announced a call for assistance on the Special Housing Unit. Upon my arrival to 9-South, I/M Epstein, Jeffrey #76318-054 was lying on the floor of his cell handcuffed. I assisted with carrying inmate Epstein to HA-Unit on a stretcher, where he was dressed in a suicide smock and placed on Suicide Watch observation with staff.

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MCC NEW YORK

Tuesday July 23, 2019

# NEW YORK, NY

Page 1

# Daily Assignment Roster

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# Daily Assignment Roster (cont.)

<table><tr><th>REC OFFICER #1 $</th><th>Tuesday July 23, 2019
Page 2</th></tr><tr><td>REC OFFICER #2</td><td></td></tr><tr><td>11 NORTH 8. 12
OT</td><td>N</td></tr><tr><td>11 SOUTH **8 &lt;unassigned&gt;
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7/23/2019 7:02:34 AM

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# Daily Assignment Roster (cont.)

Tuesday July 23, 2019
Page 3

COP

IF TRAINING

****Change Records****

# Daily Assignment Roster (cont.)

<table><tr><th>Post</th><th>Spit Shft</th><th>Officer</th><th>Relieved Officer's
New Status</th><th>Relieving Officer</th><th>Relieving Officer's
Previous Status</th><th>Ret
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$</td><td>Y</td><td>RW 7/22 08:26
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# Daily Assignment Roster (cont.)

7/23/2019 7:02:35 AM

CONFIDENTIAL

SDNY_00010652
EFTA00035420





Tuesday July 23, 2019

Page 4

# Daily Assignment Roster (cont.)

<table><tr><th>Post</th><th>Spit Shft</th><th>Officer</th><th>Relieved Officer's
New Status</th><th>Relieving Officer</th><th>Relieving Officer's
Previous Status</th><th>Ret
Shft</th><th>Changed By</th></tr><tr><td>VISIT #2</td><td>9</td><td>$</td><td>[Sick/Annual]</td><td>&lt;Unassigned&gt;</td><td></td><td></td><td>RW 7/22 08:27</td></tr><tr><td>[Sick/Annual]</td><td></td><td>$</td><td>[Removed]</td><td></td><td></td><td></td><td>RW 7/22 08:27</td></tr><tr><td>7 NORTH</td><td>2</td><td>&lt;Unassigned&gt;</td><td></td><td>Shift
7 NORTH
7 NORTH</td><td>127 NORTH

Staff</td><td>Y</td><td>RW 7/22 08:34
OT/CT Start End
от</td></tr><tr><td>11 NORTH</td><td>2</td><td>&lt;Unassigned&gt;</td><td></td><td>$
Shift
11 NORTH
Day Off</td><td>Day Off
Staff
$
$</td><td>Y</td><td>RW 7/22 08:45
OT/CT Start End
от</td></tr><tr><td>(sp)PHONE RM 2</td><td>8</td><td></td><td>Sick Leave</td><td></td><td></td><td></td><td>KS 7/22 09:05</td></tr><tr><td>SHU #1</td><td>2</td><td>&lt;Unassigned&gt;</td><td></td><td>Shift
SHU #1
SHU #1</td><td>12 SHU #1

Staff</td><td>Y</td><td>RW 7/22 09:20
OT/CT Start End
от</td></tr><tr><td>[Inserted NCS]</td><td></td><td></td><td>[Sick/Annual]</td><td></td><td></td><td></td><td>RW 7/22 09:39</td></tr><tr><td>SHU #3</td><td>3</td><td>&lt;Unassigned&gt;</td><td></td><td></td><td>[Sick/Annual]</td><td></td><td>RW 7/22 09:39</td></tr><tr><td>SHU #4</td><td>8</td><td>&lt;Unassigned&gt;</td><td></td><td></td><td>2 SANITATION OFF</td><td>Y</td><td>RW 7/22 10:04</td></tr><tr><td></td><td></td><td></td><td></td><td>Shift
SHU #4
SANITATION OFF</td><td>Staff

$</td><td></td><td>OT/CT Start End
OT</td></tr><tr><td>SHU #1</td><td>8</td><td>&lt;Unassigned&gt;</td><td></td><td></td><td>8 SHU #2</td><td></td><td>RW 7/22 10:19</td></tr><tr><td>SHU #2</td><td>8</td><td>&lt;Unassigned&gt;</td><td></td><td>Shift
SHU #2
Day Off</td><td>Day Off
Staff</td><td>Y</td><td>RW 7/22 10:19
OT/CT Start End
от</td></tr><tr><td>7 NORTH</td><td>2</td><td></td><td>[Sick/Annual]</td><td>&lt;Unassigned&gt;</td><td></td><td></td><td>RW 7/22 10:43</td></tr><tr><td>[Sick/Annual]</td><td></td><td></td><td>[Removed]</td><td></td><td></td><td></td><td>RW 7/22 10:43</td></tr><tr><td>9 NORTH</td><td>8</td><td>&lt;Unassigned&gt;</td><td></td><td>Shift
9 NORTH
UNIT 2</td><td>2 UNIT 2

Staff
S
$</td><td>Y</td><td>RW 7/22 11:04
OT/CT Start End
от</td></tr><tr><td>11 NORTH</td><td>8</td><td>&lt;Unassigned&gt;</td><td></td><td></td><td>211 SOUTH</td><td></td><td>MR 7/22 14:34</td></tr><tr><td>5 NORTH</td><td>8</td><td>&lt;Unassigned&gt;</td><td></td><td></td><td>25 NORTH</td><td></td><td>MR 7/22 14:37</td></tr><tr><td>INTERNAL #2</td><td>2</td><td>&lt;Unassigned&gt;</td><td></td><td>Shift
INTERNAL #2
Annual Leave</td><td>Annual Leave
Staff</td><td>Y</td><td>RW 7/22 14:45
OT/CT Start End
ст</td></tr><tr><td>7 NORTH</td><td>2</td><td>&lt;Unassigned&gt;</td><td></td><td>Shift
7 NORTH
Day Off</td><td>Day Off
Staff</td><td>Y</td><td>RW 7/22 14:58
OT/CT Start End
от</td></tr><tr><td>VISIT #2</td><td>9</td><td>&lt;Unassigned&gt;</td><td></td><td>$
Shift
VISIT #2
REC OFFICER #1</td><td>3 REC OFFICER #1
Staff
$
$</td><td>Y</td><td>RW 7/22 15:26
OT/CT Start End
от</td></tr><tr><td>5 NORTH</td><td>2</td><td>&lt;Unassigned&gt;</td><td></td><td>Shift
5 NORTH
UNIT 3</td><td>12 UNIT 3

Staff

$</td><td>Y</td><td>MR 7/22 18:12
OT/CT Start End
от</td></tr></table>

# Daily Assignment Roster (cont.)

7/23/2019 7:02:35 AM

CONFIDENTIAL

SDNY 00010653
EFTA00035421





Tuesday July 23, 2019

Page 5

# Daily Assignment Roster (cont.)

<table><tr><th>Post</th><th>Spit Shft</th><th>Officer</th><th>Relieved Officer's
New Status</th><th>Relieving Officer</th><th>Relieving Officer's
Previous Status</th><th>Ret
Shft Changed By</th></tr><tr><td>11 SOUTH</td><td>2</td><td>&lt;Unassigned&gt;</td><td></td><td></td><td>12 UNIT 2</td><td>Y SJ 7/22 19:21</td></tr><tr><td></td><td></td><td></td><td></td><td>Shift
11 SOUTH
UNIT 2</td><td>Staff</td><td>OT/CT Start End
от</td></tr><tr><td>INTERNAL</td><td>12</td><td>Unassigned&gt;</td><td></td><td>$</td><td>12 SHU #4</td><td>SJ 7/22 19:22</td></tr><tr><td>SHU #2</td><td>2</td><td></td><td>[Sick/Annual]</td><td>&lt;Unassigned&gt;</td><td></td><td>SJ 7/22 21:14</td></tr><tr><td>[Sick/Annual]</td><td></td><td>$</td><td>[Removed]</td><td></td><td></td><td>SJ 7/22 21:14</td></tr><tr><td>SHU #2</td><td>2</td><td>&lt;Unassigned&gt;</td><td></td><td>Shift
SHU #2
INTERNAL #2</td><td>12 INTERNAL #2
Staff</td><td>Y S7/22 21:14
OT/CT Start End
от</td></tr><tr><td>5 SOUTH</td><td>2</td><td>Echandi, M</td><td>[Sick/Annual]</td><td>&lt;Unassigned&gt;</td><td></td><td>A 7/22 22:08</td></tr><tr><td>[Sick/Annual]</td><td></td><td></td><td>[Removed]</td><td></td><td></td><td>A 7/22 22:08</td></tr><tr><td>5 SOUTH</td><td>2</td><td>Unassigned&gt;</td><td></td><td>$

Shift
5 SOUTH
INTERNAL</td><td>12 INTERNAL
Staff
$
S</td><td>Y A 7/22 22:12
QT/CT Start End
фт</td></tr><tr><td>[Inserted NCS]</td><td></td><td></td><td>[Sick/Annual]</td><td></td><td></td><td>A 7/23 04:30</td></tr><tr><td>(sp)Suicide Watch</td><td>2</td><td>&lt;Unassigned&gt;</td><td></td><td></td><td>[Sick/Annual]</td><td>7/23 04:31</td></tr><tr><td>(sp)Suicide Watch</td><td>2</td><td></td><td>[Time Change]</td><td>Shift
Suicide Watch</td><td>Staff</td><td>A 7/23 04:31
OT/CT Start End
от 01:30 08:00</td></tr><tr><td>INTERNAL</td><td></td><td></td><td>[Time Change]</td><td>Shift
INTERNAL</td><td>Staff</td><td>A 7/23 04:32
OT/CT Start End
ΦΤ 00:00 01:30</td></tr><tr><td>11 SOUTH</td><td>8</td><td></td><td>Sick Leave</td><td>&lt;Unassigned&gt;</td><td></td><td>A 7/23 05:05</td></tr></table>

# Daily Assignment Roster (cont.)

****Recapitulation****

Morning Watch 8
AM Watch 7
Day Watch 23
PM Watch 6
Evening Watch 17

**Back Page Categories**

Sick Leave 4
Day Off 20
Annual Leave 7
LWOP 1
LWOP(M) 4
AWOL 9
SUSPENSION 1
OFFICIAL TIME 1
COP
IF TRAINING 3

Total Correctional Svcs. Staff: 113 Non Correctional Svcs. Staff: 2

Overtime Occurrences: 18
Comptime Occurrences: 1

Ops Lt. Evening Watch Signature:

Captain's Signature:

7/23/2019 7:02:36 AM

CONFIDENTIAL

SDNY_00010654
EFTA00035422



# Bureau of Prisons
Health Services
Clinical Encounter

Inmate Name: EPSTEIN, JEFFREY EDWARD
Date of Birth: 01/20/1953
Encounter Date: 07/23/2019 06:20

Sex:
Provider:

M Race: WHITE
MLP

Reg#: 76318-054
Facility: NYM
Unit: H01

Injury Assessment - Non-work related encounter performed at Health Services.

# Bureau of Prisons
Health Services
Clinical Encounter (cont.)

SUBJECTIVE:

INJURY 1 Provider: MLP

Date of Injury: 07/23/2019 01:27 Date Reported for Treatment: 07/23/2019 08:25

Work Related: No Work Assignment: UNASSG

Pain Location:

Pain Scale: 0

Pain Qualities:

Where Did Injury Happen (Be specific as to location):

Special Housing Unit Z05-Cell 124 L

Cause of Injury (Inmate's Statement of how injury occurred):
(COPY)
"I do not know. Just went to drink a little water and wake up snorting".
Symptoms (as reported by inmate): 7-23-19

None

OBJECTIVE:

Temperature:

Date Time Fahrenheit Celsius Location Provider

07/23/2019 06:30 NYM 97.5 36.4 Oral MLP

Pulse:

Date Time Rate Per Minute Location Rhythm Provider

07/23/2019 06:30 92 Via Machine Regular MLP

Respirations:

Date Time Rate Per Minute Provider

07/23/2019 06:30 NYM 16 MLP

Blood Pressure:

Date Time Value Location Position Cuff Size Provider

07/23/2019 06:30 NYM 140/85 Right Arm Sitting Adult-regular MLP

SaO2:

Date Time Value(%) Air Provider

07/23/2019 06:30 NYM 96 Room Air MLP

Exam:
General

Affect

Yes: Cooperative

Appearance

Yes: Appears Well, Alert and Oriented x 3

No: Appears Distressed, Lethargic, Dyspneic, Appears in Pain, Pallor, Cyanotic, Diaphoretic, Disheveled,

Generated 07/23/2019 09:05 by



MLP

# Bureau of Prisons
Health Services
Clinical Encounter (cont.)

Bureau of Prisons - NYM

Page 1 of 2

CONFIDENTIAL

SDNY_00010655
EFTA00035423



CONFIDENTIAL

SDNY_00010656
EFTA00035424

Inmate Name: EPSTEIN, JEFFREY EDWARD
Date of Birth: 01/20/1953
Encounter Date: 07/23/2019 06:20

Sex: M Race: WHITE
Provider: MLP

Reg #: 76318-054
Facility: NYM
Unit: H01

Exam:

Acutely III
Pulmonary
Auscultation
Yes: Clear to Auscultation, Vesicular Breath Sounds Bilaterally
No: Crackles, Rhonchi, Wheezing

# Bureau of Prisons
Health Services
Clinical Encounter (cont.)

## Exam Comments

Inmate for injury report as requested by Operational Lt. He is ambulatory, oriented x 3. In not apparent distress, smiling during this clinical encounter. Alleges, that he does not know what happened. Can not explain the marks on his neck. Responded: "I don't know". He does not want to talk of the events leading to the marks on his neck. He does not look in any distress or pain. Has an circular line of erythema at the base of the neck. Reaching 2/3 of the neck circumference, 2 inches wide, sparing the back of the neck. Has one section of this erythema in the front with marks of friction. No inflammation, no deformities, no hematomas, no lacerations, no tenderness. Patient moving his neck without any restriction. Denies having any pain or discomfort. Denies any respiratory problem. Has another small erythema on left knee about 2cm in diameter(mild). As per information from custody staff inmate Epstein was found in his cell with a rope around his neck and sitting on the floor. Inmate is currently placed on suicide watch.

## ASSESSMENT:

Injury, unspecified, T1490 - Current - R/O self inflicted injuries.

PLAN:

## Disposition:

Follow-up at Sick Call as Needed
Placed on Suicide Watch
Follow-up in 2-4 Hours

# Bureau of Prisons
Health Services
Clinical Encounter (cont.)

## Other:

For follow up with psychology service.

Patient Education Topics:

<table><tr><th>Date Initiated</th><th>Format</th><th>Handout/Topic</th><th>Provider</th><th>Outcome</th></tr><tr><td>07/23/2019</td><td>Counseling</td><td>Access to Care</td><td></td><td>Verbalizes
Understanding</td></tr><tr><td>07/23/2019</td><td>Counseling</td><td>Plan of Care</td><td></td><td>Verbalizes
Understanding</td></tr><tr><td>Copay Required:</td><td>No</td><td>Cosign Required: Yes</td><td></td><td></td></tr><tr><td>Telephone/Verbal</td><td>Order: No</td><td></td><td></td><td>(Adoo)</td></tr><tr><td colspan="3">Completed by MLP on 07/23/2019 09:05</td><td></td><td></td></tr><tr><td>Requested to be</td><td>cosigned by</td><td>MD.</td><td></td><td></td></tr><tr><td>Cosign documentation</td><td>will be displayed</td><td>on the following page.</td><td></td><td></td></tr></table>

Generated 07/23/2019 09:05 by



MLP

Bureau of Prisons - NYM

Page 2 of 2

# CONFIDENTIAL

SDNY_00010657
EFTA00035425

DOMINA USTITIA
BUREAU

Lieutenant's Office

# Metropolitan Correctional Center New York, N.Y.
Photo Sheet
Special Investigative Section

<table><tr><th>Type of Incident</th><th>Possible Suicide Attempt</th><th></th></tr><tr><td>Date and Time of Incident</td><td>07/23/19 1:27 AM</td><td></td></tr><tr><td>Inmate Name/Register Number</td><td>Epstein, Jeffrey #76318-054</td><td></td></tr><tr><td>Location of Incident</td><td>Special Housing Unit</td><td></td></tr><tr><td>Photograph(s) by</td><td>Lieutenant</td><td></td></tr><tr><td>Date and Time of Photo</td><td>07/23/19-1:45 AM</td><td></td></tr></table>



(COPY) 7-23-19

CONFIDENTIAL

SDNY_00010658
EFTA00035426

PARTHEN OF JUSTICE

PRISONS
DOMINA BUREA USTITIA OF

Lieutenant's Office

Metropolitan Correctional Center New York, N.Y.

# Photo Sheet
Special Investigative Section

<table><tr><th>Type of Incident</th><th>Possible Suicide Attempt</th></tr><tr><td>Date and Time of Incident</td><td>07/23/19 1:27 AM</td></tr><tr><td>Inmate Name/Register Number</td><td>Epstein, Jeffrey #76318-054</td></tr><tr><td>Location of Incident</td><td>Special Housing Unit</td></tr><tr><td>Photograph(s) by</td><td>Lieutenant</td></tr><tr><td>Date and Time of Photo</td><td>07/23/19-1:45 AM</td></tr></table>





CONFIDENTIAL

SDNY_00010659
EFTA00035427

OF JUSTICE
ICESNOSI
ERAL BUREA DOMINA JUSTITIA OF PRIS

Lieutenant's Office

# Metropolitan Correctional Center New York, N.Y.
Photo Sheet
Special Investigative Section

<table><tr><th>Type of Incident</th><th>Possible Suicide Attempt</th></tr><tr><td>Date and Time of Incident</td><td>07/23/19 1:27 AM</td></tr><tr><td>Inmate Name/Register Number</td><td>Epstein, Jeffrey #76318-054</td></tr><tr><td>Location of Incident</td><td>Special Housing Unit</td></tr><tr><td>Photograph(s) by</td><td>Lieutenant</td></tr><tr><td>Date and Time of Photo</td><td>07/23/19-1:45 AM</td></tr></table>



COPY -2379

CONFIDENTIAL

SDNY_00010660
EFTA00035428

OF
DEPARTMENT JUSTIC

ERAL DOMINA BUREAL OF

Lieutenant's Office

# Metropolitan Correctional Center New York, N.Y.
Photo Sheet
Special Investigative Section

<table><tr><th>Type of Incident</th><th>Possible Suicide Attempt</th></tr><tr><td>Date and Time of Incident</td><td>07/23/19 1:27 AM</td></tr><tr><td>Inmate Name/Register Number</td><td>Epstein, Jeffrey #76318-054</td></tr><tr><td>Location of Incident</td><td>Special Housing Unit</td></tr><tr><td>Photograph(s) by</td><td>Lieutenant</td></tr><tr><td>Date and Time of Photo</td><td>07/23/19-1:45 AM</td></tr></table>

COPY
7-2379 0



CONFIDENTIAL

SDNY_00010661
EFTA00035429

DEPARTME OF JUSTICE
DERAT STREE DOMINA JUSTITIA OF PRISO

Lieutenant's Office

# Metropolitan Correctional Center New York, N.Y.
Photo Sheet
Special Investigative Section

<table><tr><th>Type of Incident</th><th>Possible Suicide Attempt</th></tr><tr><td>Date and Time of Incident</td><td>07/23/19 1:27 AM</td></tr><tr><td>Inmate Name/Register Number</td><td>Epstein, Jeffrey #76318-054</td></tr><tr><td>Location of Incident</td><td>Special Housing Unit</td></tr><tr><td>Photograph(s) by</td><td>Lieutenant</td></tr><tr><td>Date and Time of Photo</td><td>07/23/19-1:45 AM</td></tr></table>

COPY 7-23-19

CONFIDENTIAL

SDNY_00010662
EFTA00035430

JUSTICE
RIFYING FEDER
DERAL BU DOMINA JUSTITIA OF

Lieutenant's Office

# Metropolitan Correctional Center New York, N.Y.
Photo Sheet
Special Investigative Section

<table><tr><th>Type of Incident</th><th>Possible Suicide Attempt</th></tr><tr><td>Date and Time of Incident</td><td>07/23/19-1:27 AM</td></tr><tr><td>Inmate Name/Register Number</td><td>Epstein, Jeffrey #76318-054</td></tr><tr><td>Location of Incident</td><td>Special Housing Unit</td></tr><tr><td>Photograph(s) by</td><td>Lieutenant</td></tr><tr><td>Date and Time of Photo</td><td>07/23/19-1:45 AM</td></tr></table>



COPY 7-23-19 100

CONFIDENTIAL

SDNY_00010663
EFTA00035431

PAREME OF JUSTICE
DERAL BAL BUREA DOMINA JUSTITIA OF PRIS

Lieutenant's Office

# Metropolitan Correctional Center New York, N.Y.
Photo Sheet
Special Investigative Section

<table><tr><th>Type of Incident</th><th>Possible Suicide Attempt</th></tr><tr><td>Date and Time of Incident</td><td>07/23/19-1:27 AM</td></tr><tr><td>Inmate Name/Register Number</td><td>Epstein, Jeffrey #76318-054</td></tr><tr><td>Location of Incident</td><td>Special Housing Unit</td></tr><tr><td>Photograph(s) by</td><td>Lieutenant</td></tr><tr><td>Date and Time of Photo</td><td>07/23/19-1:45 AM</td></tr></table>



COPY 7-2379
@

CONFIDENTIAL

SDNY_00010664
EFTA00035432

PARTMENT JUSTICE
CE SNOSIN
DOMINA BUREAU JUSTITIA OF PRIS

Lieutenant's Office

# Metropolitan Correctional Center New York, N.Y.
Photo Sheet
Special Investigative Section

<table><tr><th>Type of Incident</th><th>Possible Suicide Attempt</th></tr><tr><td>Date and Time of Incident</td><td>07/23/19-1:27 AM</td></tr><tr><td>Inmate Name/Register Number</td><td>Epstein, Jeffrey #76318-054</td></tr><tr><td>Location of Incident</td><td>Special Housing Unit</td></tr><tr><td>Photograph(s) by</td><td>Lieutenant</td></tr><tr><td>Date and Time of Photo</td><td>07/23/19-1:45 AM</td></tr></table>

COPY 7-23-79

CONFIDENTIAL

SDNY_00010665
EFTA00035433

EPARTMENT JUST

EDERAL DOMINA JUSTITI
BUREAU

Lieutenant's Office

# Metropolitan Correctional Center New York, N.Y.
Photo Sheet
Special Investigative Section

Type of Incident Possible Suicide Attempt(Cellmate)

Date and Time of Incident 07/23/19 1:27 AM

Inmate Name/Register Number

Location of Incident Special Housing Unit

Photograph(s) by Lieutenant

Date and Time of Photo 07/23/19-2:25 AM

COPY
3-19

CONFIDENTIAL

SDNY 00010666
EFTA00035434

CESNOSIE
DOMINA JUSTITIA

Lieutenant's Office

# Metropolitan Correctional Center New York, N.Y.
Photo Sheet
Special Investigative Section

<table><tr><th>Type of Incident</th><th>Possible Suicide Attempt(Cellmate)</th></tr><tr><td>Date and Time of Incident</td><td>07/23/19 1:27 AM</td></tr><tr><td>Inmate Name/Register Number</td><td></td></tr><tr><td>Location of Incident</td><td>Special Housing Unit</td></tr><tr><td>Photograph(s) by</td><td>Lieutenant</td></tr><tr><td>Date and Time of Photo</td><td>07/23/19-2:25 AM</td></tr></table>



COPY 7-23-19 0

CONFIDENTIAL

SDNY_00010667
EFTA00035435

DEPARTMENT OF JUSTIC
BAL BUREAU DOMINA JUSTITIA OF PRISO SNOS

Lieutenant's Office

# Metropolitan Correctional Center New York, N.Y.
Photo Sheet
Special Investigative Section

Type of Incident Possible Suicide Attempt(Cellmate)

Date and Time of Incident 07/23/19-1:27 AM

Inmate Name/Register Number #78514-054

Location of Incident Special Housing Unit

Photograph(s) by Lieutenant

Date and Time of Photo 07/23/19-2:25 AM

COPY 7-23-19

CONFIDENTIAL

SDNY_00010668
EFTA00035436

DEPARTMENT

FEDERAL DOMINA JUSTITIA
BUREAU OF

Lieutenant's Office

# Metropolitan Correctional Center New York, N.Y.

# Photo Sheet
Special Investigative Section

<table><tr><th>Type of Incident</th><th>Possible Suicide Attempt(Cellmate)</th></tr><tr><td>Date and Time of Incident</td><td>07/23/19 1:27 AM</td></tr><tr><td>Inmate Name/Register Number</td><td></td></tr><tr><td>Location of Incident</td><td>Special Housing Unit</td></tr><tr><td>Photograph(s) by</td><td>Lieutenant</td></tr><tr><td>Date and Time of Photo</td><td>07/23/19-2:25 AM</td></tr></table>

7-23-79
COPY

CONFIDENTIAL

SDNY_00010669
EFTA00035437

DEPARTHENT JUSTICE

DOMINA JUSTITIA
UREAU OF

Lieutenant's Office

# Metropolitan Correctional Center New York, N.Y.
Photo Sheet
Special Investigative Section

<table><tr><th>Type of Incident</th><th>Possible Suicide Attempt(Cellmate)</th></tr><tr><td>Date and Time of Incident</td><td>07/23/19 1:27 AM</td></tr><tr><td>Inmate Name/Register Number</td><td>#78514-054</td></tr><tr><td>Location of Incident</td><td>Special Housing Unit</td></tr><tr><td>Photograph(s) by</td><td>Lieutenant</td></tr><tr><td>Date and Time of Photo</td><td>07/23/19-2:25 AM</td></tr></table>

7-23-17
(COPY) e

CONFIDENTIAL

SDNY_00010670
EFTA00035438

ARTMENT
DERAL BU L BUREAU DOMINA STITIA OF PRISONS

Lieutenant's Office

# Metropolitan Correctional Center New York, N.Y.
Photo Sheet
Special Investigative Section

<table><tr><th>Type of Incident</th><th>Possible Suicide Attempt(Cellmate)</th></tr><tr><td>Date and Time of Incident</td><td>07/23/19-1:27 AM</td></tr><tr><td>Inmate Name/Register Number</td><td></td></tr><tr><td>Location of Incident</td><td>Special Housing Unit</td></tr><tr><td>Photograph(s) by</td><td>Lieutenant</td></tr><tr><td>Date and Time of Photo</td><td>07/23/19-2:25 AM</td></tr></table>

(COPY) 723-19

CONFIDENTIAL

SDNY_00010671
EFTA00035439



BP-A0308
JAN 17

# ADMINISTRATIVE DETENTION ORDER

# ADMINISTRATIVE DETENTION ORDER (cont.)

U.S. DEPARTMENT OF JUSTICE

FEDERAL BUREAU OF PRISONS

NEWYORK MCC
Institution

TO: Special Housing Unit Officer
Date/Time: 07-10-2019

FROM: <empty> , (Name/Title)

SUBJECT : Placement of EPSTEIN, JEFFERY , Reg. No. 7-10-2019 , in Administrative Detention

[ ](a) Is pending an investigation for a violation of Bureau regulations;
[ ](b) Is pending an SIS investigation.
[ ](c) Is pending investigation or trial for a criminal act;
[ ](d) Is to be admitted to Administrative Detention

[ ](1) Since the inmate has requested admission for protection:
I hereby request placement in Administrative Detention for my own protection.

Inmate Signature/Register No.: <empty>

Staff Witness Printed Name Signature: <empty>

[ ](2) Since a serious threat exists to individual's safety as perceived by staff, although person has not requested admission; referral of the necessary information will be forwarded for an appropriate hearing by the SRO.

[ ](e) Is pending transfer or is in holdover status during transfer.

[x](f) Is pending classification; or

[ ](g) Is terminating confinement in Disciplinary Segregation and has been ordered into Administrative Detention by the Warden's designee.

# ADMINISTRATIVE DETENTION ORDER (cont.)

It is this Correctional Supervisor's decision based on all the circumstances that the above named inmate's continued presence in the general population poses a serious threat to life, property, self, staff, other inmates, or to the security or orderly running of the institution because PENDING CLASSIFICATION

Therefore, the above named inmate is to be placed in Administrative Detention until further notice. The inmate received a copy of this Order on

(date/time).

7-1079

Staff Witness Signature/Printed Name,

_Date 2-10-9

Supervisor 24 hour review of placement: Signature/Printed name_

In the case of DHO action, reference to that order is sufficient. In other cases, the Correctional supervisor will make an independent review and decision, which is documented here.

Record Copy Inmate Concerned (not necessary if placement is a result of holdover status): Copy - Captain; Copy Unit Manager; Copy - Operation Supervisor -Administrative Detention Unit; Copy-Psychology: Copy - Central File

COPY
7-23-19

PDF

Prescribed by P5270

(Replaces BP-A0308 of JAN 88.)

CONFIDENTIAL

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A0258
.N.37

# INCIDENT REPORT

# J.S. DEPARTMENT OF JUSTICE

# J.S. DEPARTMENT OF JUSTICE (cont.)

FEDERAL BUREAU OF PRISONS

Part I – Incident Report
1. Institution: MCC New York
Incident Report Number: 3282555
2. Inmate's Name: Epstein , Jeffery
3. Register Number: 76318-054
4. Date of Incident: 07/23/2019
5. Time: 1:27am
6. Place of Incident: SHU M-Tier Cell 124
7. Assignment: Unassigned
8. Unit: ZA
9. Incident: Self-Mutilation
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 S heard noise coming from the M tier cell 124.Upon arrival I/M's Epstein, Jeffery #76318-054 cell mate (I/M was at the door stating I/M Epstein, Jeffery#76318-054 had attempted to

and removing

hang himself. I kept a visual while S/O grabbed the door keys and called for assistance. After Securing I/M him from the cell,I entered then placed I/M Epstein on his side and removed a orange homemade rope from his neck.I/M was breathing at this time

But unresponsive. Addition staff and Ops

arrived I/M was then removed from SHU.

12. Typed Name/

ng Employee:

13. Date And Time:

07/23/2019 3:30am

# J.S. DEPARTMENT OF JUSTICE (cont.)

14. Incident Repo
(Type Name/S

e Inmate By

15. Date Incident Report Delivered:

16. Time Incident Report Delivered:

Part II-Committee Action

17. Comments of Inmate to Committee Regarding Above Incident:

18. A. It is the finding of the committee that you:

# J.S. DEPARTMENT OF JUSTICE (cont.)

B. The Committee is referring the Charge(s) to the DHO for further Hearing C. The Committee advised the inmate of its finding and of the right to file an appeal within 20 calendar days.

Committed the Prohibited Act as charged: Did not Commit a Prohibited Act. Committed Prohibited Act Code (s)

19. Committee Decision is Based on Specific Evidence as Follows:

20. Committee action and/or recommendation if referred to DHO (Contingent upon DHO finding inmate committed prohibited act):

21. Date and Time of Action: accurately reflects the UDC proceedings).

(The UDC Chairman-s signature certifies who sat on the UDC and that the completed report

Chairman (Typed Name/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.

COPY 7-23-19

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

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# J.S. DEPARTMENT OF JUSTICE (cont.)

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

22379 e

# J.S. DEPARTMENT OF JUSTICE (cont.)

PDF

Prescribed by P5270

Replaces BP-S288.052 Of MAY 94

CONFIDENTIAL

SDNY_00010674
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<table><tr><th></th><th>Сор-вот</th><th></th></tr><tr><td></td><td>1 Legal Call in light of Event w</td><td>Epstein ON</td></tr><tr><td></td><td>7-23-19</td><td></td></tr><tr><td></td><td></td><td></td></tr><tr><td></td><td></td><td></td></tr><tr><td></td><td></td><td></td></tr><tr><td></td><td></td><td></td></tr><tr><td></td><td></td><td></td></tr><tr><td></td><td></td><td></td></tr><tr><td></td><td></td><td></td></tr><tr><td></td><td></td><td></td></tr><tr><td></td><td></td><td></td></tr><tr><td></td><td></td><td></td></tr><tr><td></td><td></td><td></td></tr><tr><td></td><td></td><td></td></tr><tr><td></td><td></td><td></td></tr><tr><td></td><td></td><td></td></tr><tr><td></td><td>P</td><td></td></tr><tr><td></td><td></td><td></td></tr><tr><td></td><td></td><td></td></tr><tr><td></td><td></td><td></td></tr><tr><td></td><td></td><td></td></tr><tr><td></td><td></td><td></td></tr><tr><td></td><td></td><td></td></tr><tr><td></td><td></td><td></td></tr><tr><td></td><td></td><td></td></tr><tr><td></td><td></td><td></td></tr></table>

SDNY 00010675
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# Bureau of Prisons
Health Services
Clinical Encounter

# Bureau of Prisons
Health Services
Clinical Encounter (cont.)

Inmate Name:
Date of Birth:

Encounter Date: 07/31/2019 14:11

Sex:
Provider:

Reg #: 78514-054
Facility: NYM
Unit: Z06

M Race: WHITE
PA-C

Mid Level Provider - Evaluation encounter performed at Special Housing Unit.

SUBJECTIVE:

COMPLAINT 1

Provider:

PA-C

Chief Complaint: No Complaint(s)

Subjective: "I feel good today, can't complain. My anxiety is getting better and I have no side effect from the new anxiety medication" IM being seen in the SHU as per the request of lieutenants. States he's been doing well and has no acute complaints. For what happened to his previous cell mate about a week ago, states "I have no idea what was going on. I didn't do anything and I have no injury" Pain: No

# Bureau of Prisons
Health Services
Clinical Encounter (cont.)

OBJECTIVE:

Pulse:
Date Time Rate Per Minute Location Rhythm Provider
07/31/2019 14:19 71 Via Machine PA-C

Respirations:
Date Time Rate Per Minute Provider

07/31/2019 14:19 NYM 15 PA-C

Blood Pressure:

Date Time Value Location Position Cuff Size Provider
07/31/2019 14:19 NYM 118/70 Left Arm Sitting Adult-regular PA-C

SaO2:

Date Time Value(%) Air Provider
07/31/2019 14:19 NYM 98 Room Air PA-C

Exam Comments

General: AAOx3. NAD
HEENT: PERRLA. EOMI. Nares patent.
Neck: Supple
Heart: S1, S2. RRR
Lungs: CTAB
EXT: No edema.
Neuro: Grossly normal CN II-XII

ASSESSMENT:

Encounter for general adult medical exam without abnormal findings, Z0000 - Current

PLAN:

7/31/19
Disposition:
Follow-up at Sick Call as Needed

Other:

Generated 07/31/2019 14:39 by PA-C Bureau of Prisons - NYM Page 1 of 2

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# Bureau of Prisons
Health Services
Clinical Encounter (cont.)

Inmate Name:

Date of Birth: 10/10/1967
Encounter Date: 07/31/2019 14:11

Sex:
Provider:

M Race: WHITE
PA-C

Reg #: 78514-054
Facility: NYM
Unit: Z06

IM states he feels as himself and denies being in acute distress.

Patient Education Topics:

Date Initiated Format
07/31/2019 Counseling

Handout/Topic
Access to Care

Provider

Outcome
Verbalizes
Understanding

Copay Required: No

Cosign Required: Yes

Telephone/Verbal Order: No

Completed by PA-C on 07/31/2019 14:39
Requested to be cosigned by MD.

Cosign documentation will be displayed on the following page.

COPY/31/19

Generated 07/31/2019 14:39 by PA-C

Bureau of Prisons - NYM

Page 2 of 2

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