ap-s715.012 REFERRAL OF INCIDENT (INTERNAL AFFAIRS) U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS Time of Incident 6:33 a.m. Place Incident Occurred MCC New York Allegation (s) tentive to Duty Follow Policy Source of Allegation(s) Subject of Incident’s Information: Full Name Title and Grade i 1 TI fat j Hand fh Tovia Victim (Inmate) Information (If applicable) ppovmeme ds [ee SUMMARY OF INCIDENT: (Provide a brief, but complete summation of incident including names of any witnesses) On August 10, 2019, mately 6:33 inmate Epstein, Jd / ive in his ass icell int Special Housing unced dead a ) a.m. Dy the Emergency room During a conversation with the Operations that she and Officer Thomas did not conduct stated Noel and Mr. Thomas were e they both stated they home. They also stated that they wanted review any memorandum they would have to Describe any action taken locally prior to OIA 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 Printed Name and Signature Location Date GHofs9 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. CONFIDENTIAL SDNY_00011173 EFTA00139609

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U.S. Department of Justice Federal Bureau of Prisons Memorandum Federal Correctional Institution DATE: August 10, 2019 ATTN OF: perations Lieutenant SUBJECT: Inmate Epstein, Jeffrey (#76318-054) On August 10, 2019 at approximately 6:33 A.M. The Special housing unit Shu#1 Officer T. Noel announced by via radio medical emergency on 9 South upon arrival, officer Noel stated to me that inmate Espstein had hung himself. As | entered cell Z06-220 on L-tier, I witnessed inmate Epstein on the floor of his cell unresponsive with Shu#2 officer M. Thomas performing life- saving CPR on him. I immediately relieved him and begin administering CPR continuously until relieved by clinical nurse who continued to perform CPR. I then notified the control center to call 911 emergency services at 6:35 a.m.; CPR was being continuously administe: i e Espstein was escorted to the 2™ FL. Health Service Area, while in the medical area | witnessed ni continuously performing CPR on inmate Epstein until relieved by EMT staff at 6:43 am. Inmate Epstein was escorted from the medj the Rear-gate area where he was transferred into EMS ambulance :10 am with #1 Escort lil followed in the Bop chase vehicle by escort by #2 Escort i downtown Beekman Hospital. During the emergency situation s/o T. Noel stated to me “we did not complete the 3am, Sam rouinds. Officer M. Thomas was appearing very distraught when ask what happened he stated “we messed up, followed by” I messed up” she’s not to blame we didn’t do any rounds. CONFIDENTIAL SDNY_00011174 EFTA00139610