BOP Accountability: Guard Falsification & Supervision Lapses
From: DOJ Office of Inspector GeneralTo: Congress, Attorney General, Public Record
Guard FalsificationNoel & ThomasCustody Failure
DOJ OFFICE OF INSPECTOR GENERAL — FINAL REPORT
Title: Investigation into the Death of Jeffrey Epstein at the Metropolitan Correctional Center
Report Date: June 2023
Classification: Public Release
EXECUTIVE SUMMARY:
The DOJ Office of Inspector General conducted a comprehensive investigation into the circumstances surrounding the death of Jeffrey Epstein at the Metropolitan Correctional Center on August 10, 2019. This Final Report presents the OIG's complete findings.
KEY FINDINGS:
CAUSE OF DEATH:
The OIG found no evidence to contradict the New York City Medical Examiner's determination that Epstein's death was a suicide by hanging. The investigation included:
- Review of all available surveillance footage
- Analysis of physical evidence from the cell
- Interviews with over 100 BOP staff and witnesses
- Consultation with forensic experts
SYSTEMIC FAILURES:
The report documented pervasive systemic failures at MCC:
1. STAFFING CRISIS:
- MCC was operating at approximately 50% of required staffing levels
- Mandatory overtime was routine, with some officers working 80+ hour weeks
- Non-correctional staff (teachers, cooks) were regularly assigned guard duties
2. SUICIDE PREVENTION FAILURES:
- Epstein was removed from suicide watch after only six days
- The decision was made without adequate documentation
- No formal review process was followed for the removal
- His cellmate was transferred without proper authorization the day before his death
3. SURVEILLANCE SYSTEM FAILURES:
- Multiple cameras near Epstein's cell malfunctioned
- Camera maintenance was chronically deferred
- Backup systems were inadequate
- Evidence preservation was initially mishandled
4. RECORD FALSIFICATION:
- Officers assigned to Epstein's unit falsified count logs
- Multiple rounds were documented as completed but never performed
- The practice of falsifying records was described as common at the facility
RECOMMENDATIONS:
The OIG issued 14 recommendations including:
- Mandatory minimum staffing ratios for federal detention facilities
- Upgraded surveillance systems with redundancy
- Revised suicide prevention protocols
- Enhanced oversight for high-profile detainees
- Independent review of suicide watch removal decisions
Source: DOJ Office of Inspector General
Available at: https://oig.justice.gov/