BP-S715.012 REFERRAL OF INCIDENT (INTERNAL AFFAIRS) AUG 0: U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS Date of Incident August 10, 2019 Time of Incident 6:33 a.m. Place Incident Occurred MCC New York Allegation(*) inattentive to Duty Failure to Follow Policy Source of Allegation(*) Lieutenant Subject of Incident's Information: Full Name Michael Thomas Tovia Noel Title and Grade Material Handler Foreman Correctional Officer GS-5 Victim (Inmate) Information (If applicable) Full Name ): Title/Reg. No. SUMMARY OF INCIDENT: (Provide a brief, but complete summation of incident including names of any witnesses) On August 10, 2019, at approximately 6:33 a.m. inmate Epstein, Jeffrey 73618-054 was found unresponsive in his assigned cell in the Special Housing Unit. Inmate Epstein was pronounced dead at 7:36 a.m. by the Emergency room physician at the local hospital. During a conversation with the Operations Lieutenant, Officer Noel stated that she and Officer Thomas did not conduct the 3 a.m. and 5 a.m. count. The Operations Lieutenant also hada conversation with Mr. Thomas and he stated "we messed up". Ms. Noel and Mr. Thomas were both asked to provide memorandums for the incident, they both stated they were traumatized and needed to go home. They also stated that they wanted to contact the Union President to review any memorandum they would have to write. Describe any action taken locally prior to 0IA referral: Are local, state or federal authorities involved? Classification 3 Case Yes X No Printed Name and Signature of Person Preparing Referral of Incident , Warden CEO's P ' d Name and Signature Warden Location MCC New York Date NOTE: Please fax all pertinent information as soon as possible after completion of the telephonic referral. include all statements, memos, affidavits, medical reports, personnel actions as may apply. EFTA00143084