Subject:

... To: From: Subject: SHOT Date: Friday, August 9, 2019 6:07:07 PM Attachments: Your messa e is ready to be sent with the following file or link attachments: IIIA Note: To protect against computer viruses, e-mail programs may prevent sending or receiving certain types of file attachments. Check your e-mail security settings to determine how attachments are handled. US Departmou Of justice Federal Bureau of Prisons Metropolitan Correctional Center work nara in silence, let your success be your noise. EFTA00061636 BP A0288 INCIDENT REPORT JAN 17 U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS Part I — Incident Report 1. Ins uTion MCC NEW YORK Incident Report Hunter. 2. Inmate's Name: et of mlbeen 5. Tome 1:40PM 6. Pau of Incident. SPECIAL HOUSING UNIT VISITING ROOM 7. Assignment UNASSIGNED H. 7 NORTH 9. lead.* ATTEMPT INTRODUCTION DRUGS 10. Prohibited Act Code (S): 111A 11. Description of Incident (Dale Time. 1:40PM Staff became aware of kscident) On August 9,2019 at approximately 1:40PM I S/O/S Unit Officer I proceeded to enter the 9 through the visiting r4 r i mate visitor. Once inmate reached to grab the item Once I was able to enter the visiting room, I gay visiting room, to conduct a visual search. Inmate while assigned as the Special Housing I walked towards the door I observed attempt to grab a unknown Item from his door and called for a lieutenant. a direct order to walk of the conducted. Operations lieutenant was contacted and inmate was removed from the unit. • d a visual search was 12. Typed NamefSignalure of Repotting Employee U 13 Dale And lime 6 00pm 14. Incident Report Delivered to Above Inmate I IS. Date Incident Report e Here Part I — Committee Action (Type NamedSignature) lime Incident Reporte 17 Comments of Inmate to Committee Regarding Above Incident 18. A. Ills the finding of de committee that you: H Committed the Prohibited Act as charged' Did not Commit a Prohibited Act. Committed Prohibited Act Code (S). B. F- 1 The Committee is relening the Charge(s) to the DHO for further Hearta_, C. I I The Committee advised the inmate of its finding and of the right to fie an appeal within 20 calendar days. 19 Committee Decision is Based on Specific Evidence as Follows 20. Committee action and/or recommendation if referred to DHO (Contingent upon DHO finding inmate committed prohibited act) 21 Date and Time of Action accurately reflects the UDC proceedings). (The UDC Chalrmanes signature certifies who sat on the UDC and that the completed report hainnan (typed Name/Signature) Member (Typed Name) lorrlber (typed Name). INS !RUG r IONS All items outside of heavy rule are for staff use only. Begin entries with the number 1 and work up. Entries not completed wit be voided by staff. Distribute Ottginal.Central Fie Record, COPY.1.DHO COPY.2-inmate after UDC Acton, COPY 3-Inmate within 24 hours of Part I Preparation POF Prescnbed by P5270 Replaces BP-A0288 of AUG 11 EFTA00061637 PART III - inveaUgallon 22. Date and Time hives gabon Began: 23 Inmate Advised of Right To Remain Silent You are advised of your right to remain silent at alt stages of the disciple* process Your sience may be used to draw an adverse inference against you at any stage of Ina discipkne process. Your silence alone may not be used to support a fining that you have committed a prohibited act. The inmate Was Advised of the Above Right By. At (Date/time): 4. liTnate statement and attitude 25. Other fads about the incident statements of those persons present al scene, disposition of evidence. etc 26 Investigators comments and conclusions 27. Action taken Date and Tine kwesligation Completed. Printed Name/Signature of investigator PDF Prescribed by P5270 Replaces BP-A0288ol AUG 11 EFTA00061638