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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/Postpar