EFTA00061636.pdf

... From: To: 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 Incident Report Hunter. MCC NEW YORK 2. Inmate's Name: et of mlbeen 5. Tome 1:40PM 6. Pau of Incident. 7. Assignment H. SPECIAL HOUSING UNIT VISITING ROOM UNASSIGNED 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 while assigned as the Special Housing Unit Officer I proceeded to enter the 9 I walked towards the door I observed through the visiting r4 r i mate attempt to grab a unknown Item from his visitor. Once inmate reached to grab the item door and called for a lieutenant. Once I was able to enter the visiting room, I gay a direct order to walk of the visiting room, to conduct a visual search. Inmate • d a visual search was conducted. Operations lieutenant was contacted and inmate was removed from the unit. 12. Typed NamefSignalure ofRepotting Employee 13 Dale And lime U 6 00pm 14. Incident Report Delivered to Above Inmate I IS. Date Incident Report e Here lime Incident Reporte (Type NamedSignature) Part I — Committee Action 17 Comments of Inmate to Committee Regarding Above Incident 18. A. Ills the finding of de committee that you: B. F- 1 The Committee is relening the Charge(s) to the DHO for further Hearta_, H Committed the Prohibited Act as charged' Did not Commit a Prohibited Act. Committed Prohibited Act Code (S). 19 Committee Decision is Based on Specific Evidence as Follows C. I I The Committee advised the inmate of its finding and of the right to fie an appeal within 20 calendar days. 20. Committee action and/or recommendation if referred to DHO (Contingent upon DHO finding inmate committed prohibited act) 21 Date and Time of Action (The UDC Chalrmanes signature certifies who sat on the UDC and that the completed report accurately reflects the UDC proceedings). 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  22. Date and Time hives gabon Began: PART III - inveaUgallon 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