Text extracted via OCR from the original document. May contain errors from the scanning process.
TYPOPricilferrt,
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
Form 583 Report of Incident
Incident ft: NYM-19-
Submitted By:
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
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
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 3
CONFIDENTIAL
SDNY_000 10632
EFTA00034275
Form 583 Report of Incident
Incident #: NYM-19-
0076
Submitted By:
Date/Time Of Incident: 7/23/20191:
AM
Reg tt: 76316054
Name: EPSTEIN, JEFFREY
Role: Victim
Medical Attention Required: No
Weapon (per inmate): No
Use of Force (per inmate): No
Chemical Used (per Inmate): No
CIMS: No
STG: Yes
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
Restraints (per inmate): No
Death (per inmate):
No
Injury Category: Minor lnju
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 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
This document is marked Unclassified/Limited Official Use Only/Law Enforcement Sensitive and may be disseminated, with p 'per
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 provision of the
Privacy Act (5 U.S.C. 552).
2 of 3
CONFIDENTIAL
SDNY_000 10633
EFTA00034276
Form 583 Report of Incident
Incident
NYM-19-
Submitted By:
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, masons 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
4 )
Center. Upon my arrival I was informed that an inmate had attempted suicide and proceeded to cell, Z05-124LA . I
observed inmate Epstein, Jeffrey #76318-054 lying in the fetal position on the floor of his cell wearing a t-shirt an 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 di
ed to
retrieve the stretcher. As inmate Epstein was being placed on the stretcher by responding staff, he would open h s eyes
and observe staff. When staff made eye contact with him, he would hurriedly shut his eyes. The inmate was lak n 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 sma e hema on his left nee.
Section 7: Attachments
iftenarde*
No data found.
Approved By: NOT COMPLETED
Orfalnal.Entered By
This document is marked Unclassified/Limited Official Use Only/Law Enforcement Sensitive and may be disseminated, with p
r
attribution, to active Law Enforcement. DOD, or U.S. Intelligence Agencies. This document. or any segmenVattachment there f. may
not be released without the approval of the Bureau of Prisons to any media sources, any non4aw 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
CONFIDENTIAL
SDNY_000 10634
EFTA00034277
UNITEL
Memorandum
Metropolitan Correctional Center
150 Park Row
New York New York 10007
July 23, 2019
MEMORANDUM FO
FROM:
SUBJECT:
Possible Suicide Attempt
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
Clark- wh sta
tein was alert and had indicated that his cellmate,
had attempted to kill him and had been harassing
im
e state
e inmate had indicated that he'd informed his attorney of this
matter.
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
ASensilive Limited Official Use Onlvir.
CONFIDENTIAL
SDNY_00010635
EFTA00034278
CONFIDENTIAL
SDNY_00010636
EFTA00034279
they ran down. Upon f,....ner questioning, inmate
..fated 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 fricau legal visit at approx. 8:00PM and staff
handed him a copy of the Daily News. "M" was on the floor reading the Daily News.
He stated that he had given it to him. He stated that
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 staffs 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.
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.
iU on the arrival of medical staff, inmate Epstein was examined and treated by, MLP I
for a circular line of erythema at the base of the neck, one section on the front
wit marks of friction and a small erythema on his left knee.
ASensitive Limited Official Use Only=
CONFIDENTIAL
SDNY_00010637
EFTA00034280
CONFIDENTIAL
SDNY_00010638
EFTA00034281
I)
7 r 3-2019
MEMORANDUM
Metropolitan Correctional Center, New York, New York
SUBJECT: Suicide Attempt Inmate Epstein#76318-054
On the above date at approx. I :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 (Um
was at the door stating I/M Epstein 476318-054 had attempted to hang himself.
I ke t 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. IIM was breathing at this time, But unresponsive. As I began
chest compressions addition staff and Ops
arrived, IIM was then removed from the Special
I-lousing Unit without further incident.
CONFIDENTIAL
SDNY_000 10639
EFTA00034282
CONFIDENTIAL
SDNY_00010640
EFTA00034283
DATE: July 23, 2
TO:
Operations Li
nt,
FROM:
SUBJECT: Inmate Epstein reg# 76318-054
MEMORANDUM
Metropolitan Correctional Center, New York, New York
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 staffarrived inmate Epstein was removed from
his cell without further incident.
CONFIDENTIAL
SDNY_00010641
EFTA00034284
CONFIDENTIAL
SDNY_00010642
EFTA00034285
MEMORANDUM
Metropolitan Correctional Center, New York, New York
July 23, 2019
SUBJEC •
'
On July 23, 2019 at approximately 1:27, I.
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 E stein
he sat u 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.
CONFIDENTIAL
SDNY_00010643
EFTA00034286
CONFIDENTIAL
SDNY_00010644
EFTA00034287
MEMORANDUM
Metropolitan Correctional Center, New York, New York
DATE:
July 23,
TO:
FROM:
SUBJECT:
Epstein, Jeffrey
# 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 cel!"
124
in which he was housed, I noticed J. Epstein I/M# 76318-054 on the floor and OfficerS
placing restraints on him. Officer
and I entered said cell attempting to
assist in said process.
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
a
asked for a stretcher to be retrieve to safely remove him out of his cell. Once
stretcher arrived, Officer...,
Officer.M
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, Officers
IM
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.
CONFIDENTIAL
SDNY_00010645
EFTA00034288
CONFIDENTIAL
SONY_00010646
EFTA00034289
UNITEL 'TATES GOVERNMENT
Memorandum
Metropolitan Correctional Center
150 Park Row
New York New Ynrk 10007
July 23, 2019
FROM:
SUBJECT:
Material Handler Supervis
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.
ASensitive Limited Official Use Only=
CONFIDENTIAL
SDNY_00010647
EFTA00034290
CONFIDENTIAL
SDNY_00010648
EFTA00034291
MCC NEW YORK
NEW YORK, NY
Daily Assignment Roster
Tuesday July 23. 2019
Page 1
6 07:00 .15:00
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SDNY_00010649
EFTA00034292
CONFIDENTIAL
SDNY_000 10650
EFTA00034293
Tuesday July 23, 2019
Page 2
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7/23/2019 7:02:34 AM
SDNY_00010651
EFTA00034294
Tuesday July A ale
Pare3
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SDNY_00010653
EFTA00034296
Tuesday July 23, 2019
Pago 5
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New Status
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Shft C41811Qed By
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$
(Removed)
& 7/22 21:14
SHU 02
2
<Unassigned>
12 INTERNAL 02
Y S, 7/2221:14
Shift
11
OT/Cr Start End
SHU 02
01
INTERNAL 02
5 SOUTH
2
Echandi. M
(Sick /Annual)
<Unassigned>
11 7/22 22:08
[Sick / Annual)
[Removed]
11722 22:08
5 SOUTH
2
<Unassigned>
12 INTERNAL
tall
OT/CT
$
$
Y
7/22 22:12
Start
OT
End
Shift
5 SOUTH
INTERNAL
Unsoiled NCS)
(Sick/Annual]
7/23 04:30
(ap)Suickle Watch
2
<Unassigned>
[Sick / Annual)
7/23 C4:31
(sp)Suicide Watch
2
(Time Change]
Shift
Suicide Watch
l'
i
el 7/23 04:31
OT/CT
Start
OT
01:30
End
08:00
INTERNAL
2
(Time Change]
Shift
INTERNAL
Staff
k 7/23 04:32
0T/CT Start
QT
00:00
End
01:30
11 SOUTH
8
Sick Leave
<Unassigned>
i
k
7/23 05:05
""Recapitulation""
Morning Watch
8
AM Watch
7
Day Watch
23
PM Watch
6
Evening Watch
17
—Back Pago Categories"
Sick Leave
4
Day Off
20
Annual Leave
7
LWOP
1
LWOP(M)
4
AWOL
9
SUSPENSION
1
OFFICIAL TIME
1
COP
2
IF TRAINING
3
Total Correctional Svcs. Staff: 113
Non Correctional Svcs. Staff: 2
Overtime Occurrences: 18
Comptlme Occurrences: I
Ops Lt. Evening Watch Signature:
Captain's Signature:
7/23/2019 7:02:36 AM
CONFIDENTIAL
SDNY_000 10654
EFTA00034297
Bureau of Prisons
Health Services
Clinical Encounter
Inmate Name:
Date of Birth:
01/20/1953
Encounter Date: 07/23/2019 06:20
Reg #:
76318-054
Sex:
M
Race: WHITE
Facility: NYM
Provider:
Unit:
H01
Injury Assessment - Non-work related encounter performed at Health Services.
SUBJECTIVE:
INJURY 1
Provider:
MLP
Date of Injury:
07/23/2019 01:27
Date Reported for Treatment:
Work Related:
Pain Location:
No
Work Assignment:
UNASSG
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):
1 do not know. Just went to drink a little water and wake up snorting'.
Symptoms (as reported by inmate):
None
OBJECTIVE:
Temperature:
ade
Time
Fahrenheit Celsius Location
Provider
07/23/2019
06:30 NYM
97.5
36.4 Oral
MLP
07/23/2019 08:25
Pulse:
DAM
Time
Rate Per Minute
Location
.BMttlam
Provider
07/23/2019 06:30
92
Via Machine
Regular
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
SaO2:
S[
t
Time
Valuer/id Air
Provider
07/23/2019
06:30 NYM
96 Room Air
MLP
MLP
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 0723/201909 05 by MM.
MLP
Bureau of Prisons - NYM
Page 1 of 2
CONFIDENTIAL
SDNY_00010655
EFTA00034298
CONFIDENTIAL
SDNY_00010656
EFTA00034299
Inmate Name: EPSTEIN. JEFFREY EDWARD
Reg #:
76318.054
Date of Birth:
01/20/1953
Sex:
M
Race: WHITE
Facility: NYM
Encounter Date: 07/23/2019 06:20
Provider:
MLP
Unit:
H01
Exam:
Acutely Ill
Pulmonary
Auscultation
Yes: Clear to Auscultation, Vesicular Breath Sounds Bilaterally
No: Crackles, Rhonchi, Wheezing
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: 1 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 - RIO self inflicted injuries.
PLAN:
Disposition:
Follow-up at Sick Call as Needed
Placed on Suicide Watch
Follow-up in 2-4 Hours
Other:
For follow up with psychology service.
Patient Education Topics:
Date Initiated Format
Handout/Topic
provider
Outcome
07/23/2019
Counseling
Access to Care
Verbalizes
Understanding
07/23/2019
Counseling
Plan of Care
Verbalizes
Understanding
Copay Required: No
Cosign Required: Yes
TelephoneNerbal Order: No
Completed by
MLP on 07/23/2019 09:05
Requested to be cosigned by
MD.
Cosign documentation will be displayed on the following page.
Generated 07/23/2019 09:05 by
MLP
Bureau of Prisons - NYM
Page 2 of 2
CONFIDENTIAL
SDNY 00010657
EFTA00034300
Metropolitan Correctional Center New York, N.Y.
Photo Sheet
Special Investigative Section
Type of Incident
Possible Suicide Attempt
Date and Time of Incident
07/23/19 - 1:27 AM
Inmate Name/Register Number
Epstein, Jeffrey #76318-054
Location of Incident
Photograph(s) by
Date and Time of Photo
1
Special Housing Unit
a
, Lieutenant
07/23/19 -1:45 AM
CONFIDENTIAL
SDNY_00010658
EFTA00034301
Lieutenant's Office
Metropolitan Correctional Center New York, N.Y.
Photo Sheet
Special Investigative Section
Type of Incident
Possible Suicide Attempt
Date and Time of Incident
07/23.779- 1:27 All
Inmate Name/Register Number
Epstein, Jeffrey #76318-054
Location of Incident
Special Housing Unit
Photograph(s) by
Lieutenant
Date and *lime of Photo
07;23:19-1:45 Adl
CONFIDENTIAL
SDNY_000 10659
EFTA00034302
Metropolitan Correctional Center New York, N.Y.
Photo Sheet
Special Investigative Section
Type of Incident
Date and Tune of Incident
Possible Suicide Attempt
07/23/19- 1:27 AM
Inmate Name/Register Number
Epstein, Jeffrey #76318-054
Location of Incident
Photograph(s) by
Date and Time of Photo
Special Housing Unit
. Lieutenant
07/23/19 -1:45 AM
CONFIDENTIAL
SDNY_000 10660
EFTA00034303
reittenatil .s Office
Metropolitan Correctional Center New York, N.Y.
Photo Sheet
Special Investigative Section
Type of Incident
Possible Suicide Attempt
Date and Time of Incident
Inmate Name/Register Number
Location of Incident
Photograph(s) by
Date and Time of Photo
07/23/19- 1:27 AM
Epstein, Jeffrey #76318-05.1
Special !lousing Unit
, Lieutenant
07,23,19 -1:45 .4.t1
CONFIDENTIAL
SONY_00010661
EFTA00034304
Metropolitan Correctional Center New York, N.Y.
Photo Sheet
Special Investigative Section
Type of Incident
Date and Time of Incident
Inmate Name/Register Number
Location of Incident
Photograph(s) by
Date and Timc of Photo
Possible Suicide Attempt
07723 19 1:2' Al!
Epstein, Jeffrey #76318-0.5-1
Special Housing Unit
07/23.19 -1:.15.4.11
CONFIDENTIAL
SDNY_000 10662
EFTA00034305
Lieutenant's Office
Metropolitan Correctional Center New York, N.Y.
Photo Sheet
Special Investigative Section
Type of Incident
Date and Time of Incident
Inmate Name/Register Number
Location of Incident
Photograph(s) by
Date and Time of Photo
r--
Possible Suicide Attempt
07/23/19 1:27,4A/
Epstein. Jeffrey 1176318-054
Special Housing Unit
07 23;19 -1:45 AM
CONFIDENTIAL
SDNY_000 10663
EFTA00034306
Lieutenant's Office
Metropolitan Correctional Center New York, N.Y.
Photo Sheet
Special Investigative Section
Type of Incident
I)atc and Time of Incident
Inmate Name/Register Number
Possible Suicide Attempt
O..23/9 1:27A,11
Epstein, Jeffrey #76318-054
Location of Incident
Photograph(s) by
Date and Time of Photo
Special Housing Unit
. Lieutenant
OT 23 • 19 -1:45 AM
.O,0 L.,:
CONFIDENTIAL
SDNY_00010664
EFTA00034307
Metropolitan Correctional Center New York, N.Y.
N
lite
Photo Sheet
Special Investigative Section
Type of Incident
Date and Time of Incident
Inmate Name/Register Number
Location of Incident
Photograph(s) by
_
Date and Time of Photo
Possible Suicide Attempt
07/23/19 — 1:27 AAtt
Epstein, Jeffrey #76318-054
Special Housing Unit
I .
, Lieutenant
CONFIDENTIAL
SDNY_000 10665
EFTA00034308
Metropolitan Correctional Center New York, N.Y.
Photo Sheet
Special Investigative Section
Type of Incident
Possible Suicide Attempt(Cellmate)
Date and Time of Incident
Inmate Name/Register Number
Location of Incident
07/23/19- 1:27 AM
Special Housing Unit
Photograph(s) by
Lieutenant
Date and Time of Photo
07/23/19 -2:25 AM
CONFIDENTIAL
SDNY_000 10666
EFTA00034309
Lieutenant's Office
Metropolitan Correctional Center New York, N.Y.
Photo Sheet
Special Investigative Section
Type of Incident
Possible Suicide Attempt(Celltnate)
Date and Time of Incident
07/23/19 1:27 AM
Inmate Name/Register Number
Location of Incident
Special Housing Unit
Photograph(s) by
I.
, Lieutenant
Date and Time of Photo
07 23/19 -2:25 A.11
CONFIDENTIAL
SDNY_00010667
EFTA00034310
Lieutenant'. (1ilice
Metropolitan Correctional Center New York, N.Y.
Photo Sheet
Special Investigative Section
Type of Incident
Possible Suicide Aueinpt(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
I.
. Lie:dentin!
Date and Time of Photo
rr 23 /9 -2:25 AM
1-v v
SDNY_000 10663
EFTA00034311
Lieutenant's Office
Metropolitan Correctional Center New York, N.Y.
Photo Sheet
Special Investigative Section
Type of Incident
Date and Time of Incident
Inmate Name/Register Number
Location of Incident
Photograph(s) by
Date and Time of Photo
Possible Suicide Attempt(Cellmate)
07/23/19 - 1:27 AM
Special housing 11th/!
, Lieutenant
07/23/19 -2:25 AM
1;2
Av
(COpy)
CONFIDENTIAL
SONY_00010669
EFTA00034312
Lieurenatult 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 A.11
Inmate Name/Register Number
478514-054
Location of Incident
Special Housing Unit
Photograph(s) by
a
Lieutenant
Date and Time of Photo
07:23; 19 -2:25 All
CONFIDENTIAL
SDNY_000 10670
EFTA00034313
Lieutenant's Office
Metropolitan Correctional Center New York, N.Y.
Photo Sheet
Special Investigative Section
Type of Incident
Possible Suicide Attempt(Cellmate)
Date and 'lime of Incident
Inmate Name/Register Number
Location of Incident
07/23/19 - 1:27 AM
Special Housing Unit
Photograph(s) by
Date and Time of Photo
Lieutenant
07/23/19 -2:25 AM
g
CONFIDENTIAL
SDNY_000 10671
EFTA00034314
NEWYORK MCC
InstitutOn
asiomme 07-10-2019
TO Speommonmin humaffires_
FROM
(Name/Title)
SUBJECT Placement of
. 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
(I) Since the urinate has requested admission for protection.
I hereby request placement in Adminstrative Detention for my own protection
Inmate Signature/Register No.:
Staff Witness Printed Name Signature'
(2) Since a serious threat exists to indmduars 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
it
(I)
Is pending classification or
Is terminating confinement in Disciplinary Segregation and has been ordered into Administrative Detention by the Warden's
designee.
Kis this Correctional Supervisors decision based on all the circumstances that the above named inmates continued presence in the general
population poses a serious threat to life. properly. self, staff. other inmates. or to the secunty or orderly running of the institution because
Therefore, the above named inmate is to be placed In Administrative Detention until further notice. The inmate received a copy of Iris Order on
(dale/ time)
- t
StallWitness Signature/Printed Name
Supervisor 24 hour review of placement: Signature/Printed name
' In the case of OHO anon, reference to that order is sufficient. In other cases. the Correctional supervisor wit make an independent review and decision, wnich is
documented here.
Record Copy • Inmate Concerned (not necessary if placement is a result of holdover status): Copy • Captain. Copy - Unit Manager: Copy - Oper
- Administrative Detention Unit: Copy — Psychology. Copy - Central File
'COPY
PDF
Prescribed by P5270
(Replaces BP-A0308 of JAN 88)
Isli et
1 6
Date
/ C5 " ?
CONFIDENTIAL
SDNY_000 10672
EFTA00034315
INCIDENT REPORT
1. institution' ' MCC New York
27Inmates Name:
Epstein , Jeffery
S. Place of Incident:
SEW M-Tier Cell 124
9. Incident: Self-Mutilation
Part I — Incident Report
Incident Report Numbe
3. Register Number:
76318-054
7. Assignment
Unassigned
4. Date of Inciden
07/23/2019
1:27am
. Unit:
ZA
1 10. Prohibited Act Code (S)r 228
11. Desaiption of Incident (Date: 07/23/2019
Time: 1:27AM
Stall became aware of incident):
On July 23.2019 at approx. 1:27am While working in the S ecial Housing Unit Myself and 5/0 lEheard noise corning from the M tier cell 124 Upon
arrival um's Epstein.Jefferylt76318.054 cell mate (UM
as at the door slating UM Epstein.Jeff
76318-054 had attempted to
hang himself I kept a visual while 5/0
rabbed I ie oor teys an ca
for assistance. After Sec—urine- 9M
wand removing
him from the calif entered-then placed
pstein on his side and removed a orange homemade rope from his n
.
wasbreathing at thus
But unresponsive. Addition staff and 0 s
rrived UM was then removed from SHU
12. Typed Name
Employee:
13. Date And Time
14. Incident Repot
Inmate by
(Type Name
15. Date InJ ent Repon Delivered:
07/23/2019 3:30am
18. 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:
Committed the Prohibited Act as charged:
Did not Commit a Prohibited Act.
Committed Prohibited Act Code (s).
B. 1
The Committee is referring the Charge(s) to the OHO for further
Heargia_,
C
I
I The Committee advised the inmate of its finding and of the right
to Me an appeal within 20 calendar days.
19. Committee Decision is Based on Specific Evidence as Follows:
20. Committee action and/or recommendation if referred to OHO (Contingent upon DHO finding inmate committed proNbited act):
21. Date and Time of Action:
(The UDC Chairmanws signature certifies who sat on the UDC and that the completed report
accurately reflects the UDC proceedings).
airman (Typed Name/Signature).
Member (Typed Name):
Member ( fyped Name):
INS1RUCT IONS: All items outside of heavy rule are for staff use only. Begin entries with the number 1 and work up. Entnes not completed wilt be
voided by staff.
DisInbule: Onginal.Central File Record: COPY-WHO COPY.2-Inniate after UDC Action. COPY 3.Inniale within 24 hours of Part I Preparation
PDF
CONFIDENTIAL
Presuibed by P5270
Replaces BP-A0288 of AUG 11
SONY_000 10673
EFTA00034316
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
7ith:
PDF
CONFIDENTIAL
Prescribed by P5270
Replaces BP-S288 052 Of MAY 94
SDNY_00010674
EFTA00034317
~oP _ Air
/e9
/ a..//
IA/
k i k
et,
7-43/4
CONFIDENTIAL
SDNY_00010675
EFTA00034318
Bureau of Prisons
Health Services
Clinical Encounter
Inmate Name:
Reg tt:
78514-054
Date of Birth:
Sex:
M
Race: WHITE
Facility: NYM
Encounter Date: 07/31/2019 14:11
Provider:
PA-C
Unit:
Z06
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
OBJECTIVE:
Pulse:
pate
Time
Rate Per Minute
Location
&Winn
Provider
07/31/2019 14:19
71
Via Machine
PA-C
Respirations:
Date
Time
Rate Per Minute ProvideC
07/31/2019
14:19 NYM
15
PA-C
Blood Pressure:
Date
lime
Value
Location
Position
Cuff Size
Provider
07/31/2019 14:19 NYM 118/70
Left Arm
Sitting
Adult-regular
PA-C
SaO2:
Date
Time
ValuefToi 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
ASSESSMENT:
Encounter for general adult medical exam without abnormal findings, Z0000 - Current
PLAN:
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
CONFIDENTIAL
SONY_00010676
EFTA00034319
CONFIDENTIAL
SONY_00010677
EFTA00034320
Inmate Name: 1
Reg #:
78514.054
Date of Birth:
10110/1967
M
Race: WHITE
Facility: NYM
Encounter Date: 07/31/2019 14:11
Provider:
Unit:
Z06
IM states he feels as himself and denies being in acute distress.
Patient Education Topics:
Date Initiated Format
Handout/Topic
07/31/2019
Counseling
Access to Care
Copay Required: No
Cosign Required: Yes
TelephoneNerbal 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.
Generated 07/31/2019 14:39 by
PA•C
Provider
MEM
Outcome
Verbalizes
Understanding
Bureau of Prisons • NYM
Page 2 of 2
CONFIDENTIAL
SDNY_00010678
EFTA00034321