6. Place of Incident SHU M-Tier Cell 124 7. Assignment Unassigned 8. Unit EA 9. Incident Self-Mutilation 10. Prohibited Act Code(sI 228 11. Description Of Incident (Date: Time: 1:27 am Staff became aware of ncidentI .07/23/2019 On July 23,2010 at approx. 1:27am While working in the Special Housing Unit Myself

. Place of Incident SIR( M-Tier Cell 124 7. Assignment Unassigned 8. Unit ZA 9. Incident Self-Mutilation 10. Prohibited Act Code(s) 228 11. Description Of Incident (Date: 07/23/2019 Time: 1:27 am Staff became aware of ' cidentl On July 23,2019 at approx. 1:27am While working in the Special Housing Unit Myself

6. Place of Incident SHU M-Tier Cell 124 7. Assignment Unassigned 8. Unit ZA 9. Incident Self-Mutilation 10. Prohibited Act Code(s) 228 11. Description Of Incident (Date: 07/23/2019 Time: 1:27 am Staff became aware of incident) Unit Myself and $/0 a On July 23,2019 at approx. 1:27am While working in the Speci

6. Place of Incident SHU M-Tier Cell 124 7. Assignment Unassigned 8. Unit ZA 9. Incident Self-Mutilation 10. Prohibited Act Code(s) 228 11. Description Of Incident (Date: 07/23/2019 Time: 1:27 am Staff became aware of ' cidentl On July 23,2019 at approx. 1:27am While working in the Special Housing Unit Myself

6. Place of Incident SHU M-Tier Cell 124 7. Assignment Unassigned 8. Unit ZA 9. Incident Self-Mutilation 10. Prohibited Act Code(s) 228 11. Description Of Incident (Date: 07/23/2019 Time: 1:27 am Staff became aware of ' cidentl On July 23,2019 at approx. 1:27am While working in the Special Housing Unit Myself