Page 3316
Form 583 Report of Incident
Incident #: NYM-19-0082 Submitted By: N' Diaye, L. Date/Time Of Incident: 8/10/2019 6:33 AM
Reg #: 76318054 Name: EPSTEIN, JEFFREY
Role: Not Known Medical Attention Required: Outside Injury Category: Fatal Injury
Weapon (per Inmate): No Use of Force (per Inmate): No Chemical Used (per Inmate): No
CIMS: No STG: Yes
Restraints (per Inmate): Escort Only
Death (per Inmate): No
Section 3: Others Involved
Name: [b)(6); (b)(7)(C) Person Type: Staff
Medical Attention Required: No Death: No
Injury Category: No Injury Staff Injury by Inmate: No
Sexual Assault: No
Name: [b)(6); (b)(7)(C) Person Type: Staff
Medical Attention Required: No Death: No
Injury Category: No Injury Staff Injury by Inmate: No
Sexual Assault: No
Name: [b)(6); (b)(7)(C) Person Type: Staff
Medical Attention Required: No Death: No
Injury Category: No Injury Staff Injury by Inmate: No
Sexual Assault: No
Name: [b)(6); (b)(7)(C) Person Type: Staff
Medical Attention Required: No Death: No
Injury Category: No Injury Staff Injury by Inmate: No
Sexual Assault: No
Name: [b)(6); (b)(7)(C) Person Type: Staff
Medical Attention Required: No Death: No
Injury Category: No Injury Staff Injury by Inmate: No
Sexual Assault: No
Name: [b)(6); (b)(7)(C) Person Type: Staff
Medical Attention Required: No Death: No
Injury Category: No Injury Staff Injury by Inmate: No
Sexual Assault: No
Name: [b)(6); (b)(7)(C) Person Type: Staff
Medical Attention Required: No Death: No
Injury Category: No Injury Staff Injury by Inmate: No
Sexual Assault: 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 proper attribution, to active Law Enforcement, DOD, or U.S. Intelligence Agencies. This document, or any segment/attachment thereof, 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 provisions of the Privacy Act (5 U.S.C. 552).
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DOJ-OGR-00026905
Full Text
Page 3316
Form 583 Report of Incident
Incident #: NYM-19-0082 Submitted By: N' Diaye, L. Date/Time Of Incident: 8/10/2019 6:33 AM
Reg #: 76318054 Name: EPSTEIN, JEFFREY
Role: Not Known Medical Attention Required: Outside Injury Category: Fatal Injury
Weapon (per Inmate): No Use of Force (per Inmate): No Chemical Used (per Inmate): No
CIMS: No STG: Yes
Restraints (per Inmate): Escort Only
Death (per Inmate): No
Section 3: Others Involved
Name: [b)(6); (b)(7)(C) Person Type: Staff
Medical Attention Required: No Death: No
Injury Category: No Injury Staff Injury by Inmate: No
Sexual Assault: No
Name: [b)(6); (b)(7)(C) Person Type: Staff
Medical Attention Required: No Death: No
Injury Category: No Injury Staff Injury by Inmate: No
Sexual Assault: No
Name: [b)(6); (b)(7)(C) Person Type: Staff
Medical Attention Required: No Death: No
Injury Category: No Injury Staff Injury by Inmate: No
Sexual Assault: No
Name: [b)(6); (b)(7)(C) Person Type: Staff
Medical Attention Required: No Death: No
Injury Category: No Injury Staff Injury by Inmate: No
Sexual Assault: No
Name: [b)(6); (b)(7)(C) Person Type: Staff
Medical Attention Required: No Death: No
Injury Category: No Injury Staff Injury by Inmate: No
Sexual Assault: No
Name: [b)(6); (b)(7)(C) Person Type: Staff
Medical Attention Required: No Death: No
Injury Category: No Injury Staff Injury by Inmate: No
Sexual Assault: No
Name: [b)(6); (b)(7)(C) Person Type: Staff
Medical Attention Required: No Death: No
Injury Category: No Injury Staff Injury by Inmate: No
Sexual Assault: 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 proper attribution, to active Law Enforcement, DOD, or U.S. Intelligence Agencies. This document, or any segment/attachment thereof, 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 provisions of the Privacy Act (5 U.S.C. 552).
2 of 3
DOJ-OGR-00026905
--- PAGE BREAK ---
Page 3317
Form 583 Report of Incident
Incident #: NYM-19-0082 Submitted By: N'Diaye, L. Date/Time Of Incident: 8/10/2019 6:33 AM
Name: (b)(6); (b)(7)(C) Person Type: Staff
Medical Attention Required: No Death: No
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 August 10, 2019, at approximately 6:33 a.m., while serving the breakfast meal inmate Epstein, Jeffrey, Reg. No. 76318-054 was found unresponsive in his cell. Staff called for assistance and began life saving measures. He was escorted to Health Services at approximately 6:39 a.m., and EMS arrived at 6:43 a.m. He was transported to the local hospital at approximately 7:10 a.m. Inmate Epstein was pronounced deceased at 7:36 am.
Section 7: Attachments
File Date File Name Original Entered By Original Loc. Code
8/10/2019 Operation Memorandum.pdf (b)(6); (b)(7)(C) NYM
8/10/2019 Unit Roster.pdf NYM
8/10/2019 Staff Roster.pdf NYM
8/10/2019 Medical Assessment.pdf NYM
8/10/2019 Staff Memorandum.pdf NYM
Approved By: SUBMITTED N'Diaye, L.
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 proper attribution, to active Law Enforcement, DOD, or U.S. Intelligence Agencies. This document, or any segment/attachment thereof, 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 provisions of the Privacy Act (5 U.S.C. 552).
3 of 3
DOJ-OGR-00026906
Individual Pages
Page 3316 - DOJ-OGR-00026905
Page 3317 - DOJ-OGR-00026906
Page 3317
Form 583 Report of Incident
Incident #: NYM-19-0082 Submitted By: N'Diaye, L. Date/Time Of Incident: 8/10/2019 6:33 AM
Name: (b)(6); (b)(7)(C) Person Type: Staff
Medical Attention Required: No Death: No
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 August 10, 2019, at approximately 6:33 a.m., while serving the breakfast meal inmate Epstein, Jeffrey, Reg. No. 76318-054 was found unresponsive in his cell. Staff called for assistance and began life saving measures. He was escorted to Health Services at approximately 6:39 a.m., and EMS arrived at 6:43 a.m. He was transported to the local hospital at approximately 7:10 a.m. Inmate Epstein was pronounced deceased at 7:36 am.
Section 7: Attachments
File Date File Name Original Entered By Original Loc. Code
8/10/2019 Operation Memorandum.pdf (b)(6); (b)(7)(C) NYM
8/10/2019 Unit Roster.pdf NYM
8/10/2019 Staff Roster.pdf NYM
8/10/2019 Medical Assessment.pdf NYM
8/10/2019 Staff Memorandum.pdf NYM
Approved By: SUBMITTED N'Diaye, L.
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 proper attribution, to active Law Enforcement, DOD, or U.S. Intelligence Agencies. This document, or any segment/attachment thereof, 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 provisions of the Privacy Act (5 U.S.C. 552).
3 of 3
DOJ-OGR-00026906