BP, (02/18 JAN i 7 U.S. DEPARTMENT OF JUSTICE INCIDENT REPORT FEDERAL BUREAU OF PRISONS Part I - Incident Report I. instlubm- MCC New York Indent Report Number 2. Inmate's-Name: Epstein . Jeffery 3. Register Number: 76318-054 4. Date of Incitenl: j 07/23/2019 5. Time: 1:27am 6. Place of Incident. SHU M-Tier Cell 124 7. Assignment: Unassigned 8. U ZA 9. Incident: Self-Mutilation 10. Prohibited Ad Code (a): 228 11. Description of incident (Date: 07/23/2019 Time: 1:27AM Staff became aware of Incident): On July 23.2019 al approx. 1:27am While working in the S. eclat Housin arrival IfM's E tow...teff 7631 to (li ang mse . op a v sus i o gra the door keys an ca rom se end en p Unit Myself and heard noise coming from the M tier cell 124.Upon at the door stating l/P4 Epstein,Jeff 76318-054 had attem ted to crass ante. r cunng ein on is s a rerno a orange n removing rope rom s n .fffi./Was rest. rig at 1 s me But unresponsive. Addition staff and Ops arrived UM was then removed from SHU ng Employee: 13. Date And Time: ve Inmat (Type Name/S y J 15. Date f ent Report Delivered: 07/23/2019 3:30am 7''a-7f -Part - Committee Action 16. Time Indent Report Delivered 17. Comments of Inmate to Committee Reganfing Above Incident: I icn n‘ 5 t k 3/45 (111 Qn.Q9 re (T 18. A. It is the finding of the committee that you: is Committed the Prohibited Act as charged: Did not Commit a Prohibited Act. Committed Prohibited Act Code (s). B. Be The Committee is referring the Charge(s) to the DHO for further C. I 1 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: 20. mittee action and or recommendation tf referred to 0110 (Contingent upon DH finding inmate committed prohibited act): 61%kt ' ;A-ate— (l Orr i n \—$4- -31/44 --A" tin C., tniRSIN...aca L); CtreisJL, ttRos, 06, riNL