A02:8 .N :S J.S. DEPARTMENT OF JUSTICE INCIDENT REPORT FEDERAL BUREAU OF PRISONS Part I - Incident Report 1. Institution: MCC New York Incident Report Numbs • ••;s a , c25 2. Inmates Name: Epstein . Jeffery 3. Register Number: 76318-054 4. Date of Incident: 07/2312019 1:27am 6. Place ofinadont: SHU Miler Cell 124 7. Assignment: Unassigned 8. unit: ZA 9. Incident: Self-Mutilation . 10. Prohibited Ad Code (s): 228 11. Description of Incident (Dale: 07/23/2019 Time: 1:27AM Staff became aware of incident): On July 23.2019 al approx. 127am Whale working in the Special Housing Unit Myself and S/0 =heard noise coning from the M tier cell 124.Upon arrival UM's Epstoin.Jelfery/t76318-054 cell mate ((UM Tartagrionea78514.054)was at the door stating UM Epstein.Jeffery/t76318-054 had attempted to hang himself. I kept a visual Mule S/0 Mgrabbed the door keys and called for assistance. After Secunng I/M Tartaghone#78514-054 and removing him from the colt, entered then placed UM Epstein on his side and removed a orange homemade rope from his neek.UM was tirealhng at this time But unresponsive. Addition staff and Ops It arrived UM was then removed from SHU 12. Typed NamoiSil . Incident Report (Type Name/Sic mg Employee: 13. Dale And-Time: ye Inmate by i 15. Dale In ent Report Dekvered. 07/23/2019 3:30am 6. Time Inodent Repot Delivered: Part It - 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: 1 --1 Did not Commit a Prohibited Act Committed Prohibited Act Code (s). 19. Committee Decision is Based on Specific Evidence es Follows: B. In The Committee is referring the Charges) to the C. at a l The Committee advised the inmate of its fmdirry to Be an appeal within 20 calendar days. OHO for further and of the right 20. Committee action and/or recommendation if referred to DHO (Contingent upon DHO finding in