EPSTEIN
page 8 / 3296 . OCR, unverified
EFTA00123113
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Form 583 Report of Incident
Incident #: NYM-19-
Submitted By:
0076
Date/Time Of Incident: 7/23/2019 1:27 AM
Reg #: 76318054
Name: EPSTEIN, JEFFREY
Role: Victim
Medical Attention Required: No
Weapon (per inmate): No
Use of Force (per inmate): No
CIMS: No
STG: Yes
Restraints (per inmate): Escort Only
Death (per inmate):
No
Reg #: 78514054
Name: TARTAGLIONE, NICHOLAS
Role: Not Known
Medical Attention Required: No
Weapon (per inmate): No
Use of Force (per inmate): No
Chemical Used (per inmate): No
CIMS: Yes
STG: Yes
Restraints (per Inmate): No
Death (per inmate):
No
Injury Category: Minor Injury
Chemical Used (per inmate): No
Injury Category: No Injury
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
UNCLASSIFIED/LIMITED OFFICIAL USE ONLY/LAW ENFORCEMENT SENSITIVE
This document is marked Unclassified/Limited Official Use Only/Law Enforcement Sensitive and may be disseminated, with
per
attribution, to active Law Enforcement, DOD. or U.S. Intelligence Agencies. This document, or any segment/attachment the
may
not be released without the approval of the Bureau of Prisons to any media sources, any non•law enforcement entity, the ge ral
public or those without a 'need to know.' It contains information that may be exempt from public release under the provisional of the
Privacy Act (5 U.S.C. 552).
of 3
CONFIDENTIAL
SDNY_000 10633
EFTA00123114
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Incident
NYM-19-
0076
Form 583 Report of Incident
Submitted By:
Date/Time Of Incident: 7/23/2019 1:7 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, reasons 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
Center. Upon my snivel I was informed that an inmate had attempted suicide and proceeded to cell, Z05-124LAO. I
observed inmate Epstein, Jeffrey #76318-054 lying In the fetal position on the floor of his cell wearing a t-shirt anc boxers.
He was breathing heavily and was snoring. I called out to inmate Epstein and observed him flicker his eyes and continue
rtt
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 tak@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 M.
for a circular line of
erythema at the base of the neck, one section on the front with marks of friction and a smal erythema on his left knee.
Section 7: Attachments
:Arettiate
No data found.
Approved By: NOT COMPLETED
proniu Entailei 7 TtgAikt0.*-.=
UNCLASSIFIEDfLIMITED OFFICIAL USE ONLY/LAW ENFORCEMENT SENSITIVE
This document is marked Unclassified/Limited Official Use Only/Law Enforcement Sensitive and may be disseminated, with
attribution, to active Law Enforcement, DOD. or U.S. Intelligence Agencies. This document, or any segment/attachment
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 provisioniof the
Privacy Act (5 U.S.C. 552).
of 3
CONFIDENTIAL
SDNY_000 10634
EFTA00123115
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