Form 583 Report of Incident

Form 583 Report of Incident Incident 8: NYM-19- Submitted By: N' Diaye, L 0082 DateITIme Of Incident: 8/10/2019 6:33 AM Section 1: General Information Staff Aware Date: 8/10/2019 6:33 AM FBI Notified: Yes USMS Notified: Yes Indicate Whore Incident Occurred: Location Level 1: SHU Level 2: Housing Unit, Special (SHU) V A&OfIrtefilaht:L_ O Assault On Inmate O Assault On Staff O Assault, Attempted On Inmate O Assault, Attempted On Staff O Disruptive Behavior O Escape From Non-secure Facility O Escape From Secure Facility K Escape, Attempted From Non-secure Facility O Escape, Attempted From Secure Facility O Fight O Inmate Death O institution Disturbance O Introduction Of Contraband O Lethal Weapons Discharge O Self Mutilation O Setting A Fire O Sexual Act. Non-consensual On inmate K Sexual Assault On Staff O Sexual Contact, Abusive On Inmate O Sexual Harassment, Repetitive K Staff Homicide K Strike, Food K Strike, Work a Suicide Attempt O Use Of Force