Form 583 Report of Incident

Form 583 Report of Incident Incident NYM-19- Submitted By: 0076 Date/Time Of Incident: 7/23/2019 1 7 AM Section 1: General Information Staff Aware Date: 7/23/2019 127 AM FBI Notified: No USMS Notified: No Location Level 1: SHU Indicate Where Incident Occurred: Main Facility Level 2: Housing Unit, Special (SHU) Typs,Ofh 1N: K Assault On Inmate K Assault On Staff K Assault, Attempted On Inmate K Assault, Attempted On Staff K Disruptive Behavior K Escape From Non-secure Facility K Escape From Secure Facility K Escape, Attempted From Non-secure Facility K Escape, Attempted From Secure Facility K Fight K Inmate Death K Institution Disturbance K Introduction Of Contraband K Lethal Weapons Discharge K Self Mutilation K Setting A Fire K Sexual Ad, Non-consensual On Inmate K Sexual Assault On Staff K Sexual Contact, Abusive On Inmate K Sexual Harassment, Repetitive K Staff Homicide K Strike, Food K Strike, Work EI Suicide Attempt K Use Of Force K Use Of Fo