OREGON DEPARTMENT OF CORRECTIONS

Unusual Incident Report

.2 6 ( 0 -

UIR#:

6( - OC) 0

Referred to State Police:

~Yes

0

{l

Date:

1/29/10

No

Time:

2:00am

State Police Case #: -'-10"---"0=-3"-84-'.:8"'2=--_ _ _ _ _ _ _ _ _ __ _ __ _ __
Location',

Unit 13

Medical Attention Required:

Functional U nit/lnstitution'
Type of Incident - Critical Indicators Involved

Staff Assault

OSCI

Contraband
Unknown

Inmate Death

Property

Medical Emergency

Emergency

Seifinjury

Attempted Suicide

EmployeeNolunteerl
Contractor/Citizen

Blood and/or Bodily Fluid

Other:

(OR)

I lZen I nvo Ived:
2 E mplOyee, Vo Iun t eer, Con t raet or, or cr
Work
Contact
Name(s)
Location
Information

1 Inmates Involved' (Attach facesheet(s) for all offenders listed)
Projected
SID#
Name(s)
Release Date

1. Philippi , Brett

10539455

2/2212010

1.

2.
3.
4.
5.
6.
7.

5.

No

Type of Force Used:

Escape

3.
4.

0

Use of Force

Inmate Assault

2.

~Yes

cia M. Shupp
cia M. Mahoney
C/O T. Hester
Cp!. M. Arnold
C/O J. Hove
C/O S Harnden
S9!. S Markuson

ascI

503-373-0101

ascI
OSCI
OSCI
OSCI
OSCI
OSCI

503-373-0101
503-373-0101
503-373-0101
503-373-0101
503-373-0101
503-373-0101

3, Incident: Describe Incident in detail: (Times, dates, locations, weapons involved, sequence of events, inmates/staff involved, etc. For escapes onlv:
include a detailed description of the inmate(s); height, weight, color of hair/eyes, clothing last worn, and other significant info.

Page 1 of3

CD 115 (08/05)

Misconduct Issued? DYes

®

5. Communicated To'.

Y

Date

Time

OD

1/29/10

2:01am

6. Jennifer Black (left message)

PIO

1/29/10

3:10am

2. Kelly Brandon

ISM

1/29/10

2:10am

7.Chane Griggs

PIO

1/29/10

3:10am

3. Lou Allen

Asst. Supt

1/29/10

2:16am

8.Amanda Parker

RN
MGR

1/29/10

3:12am

4. Gary Kilmer

Supt

1/29/10

2:22am

9.Chaplin Raths (left message)

Relig

1/29/10

3:14am

5. Mike Gower

Asst. Director

1/29/10

2:50am

10.

Name
1. Tom Cage

/ ' /I.t'

/'1 .v

Title

Name

(left message)

Title

Date

Time

6. Report Completed By:
Lieutenant

Bryan Goodman
Print Full Name

Title

c

Page 3 of3

OSCI
Functional Unit

Dafe I

CD 115 (08105)

January 29, 2010

03:10 a.m. Jennifer Black and Chane Griggs both were called at home and cell phone
negative contact.
03:10 a.m. O.D. Mr. Cage at control center.
03: 12 a.m. Nurse Manager Amanda Parker called and she stated she would be on her way

m.
03: 14 a.m. Chaplin Raths called negative contact made. Left message.
03:33 a.m. State Police Detective Steel at control center.
03:38 a.m. medical examiner at OSCI
03:45 a.m. Medical examiner Dan'ell Britton and Mr. Kilmer at the control center headed to
unit #13.
04:51 a.m. Mr. Kilmer left.
05 :25 a.m. D.A. at control center.
06:05 a.m. called Mortumy! Altemative Burial
06:22 a.m. DA left OSCI.
06:22 a.m. Medical examiner left OSCI

2

DEPARTMENT OF CORRECTIONS
SUPERVISED TRIP AUTHORIZATION
INSTITUTION NAME: OSCI
NUMBER OF ESCORTS:

IDENTIFIED BY:
(4 or 5 = double escort)

TRIP DATE: _1:.:..:/2::..::8"--/1:..=0_ _ _ _ __

INMATE NAM E: -,Pc..:h..:::il:.:J:iP:r:p-,-,-i,-=B"-Cre::.:tt-'---________ SI D#:
DESTINATION:

Salem HospitallER

ADDRESS:

SCHEDULED TIME OF ARRIVAL AT DESTINATION:

10539455

890 Oak St., Salem
-'A-"S"'-A-'-'-P_ _ _ _ _ _ _ __

Escort(s) should review any attached documents for medical requirements pertaining to this trip. Before
departing Receiving and Discharge, an authorized employee must identify all inmates. This person's initials
must be placed on this order.
Inmates being escorted will remain under constant direct supervision. Escorting staff will proceed directly to the
destination above and return directly to the institution upon completion of the appointment.
Escort(s) will comply with the post order for Outside Escort, Department of Corrections Policy 40.1.1 (Escorting
of Inmates), and the dress code policy.__.._--...

CUSTODY LEVEL:

LEVEL 3 INMATES WILL REQUIRE
ELEMENTS SCORES 4:
'--..--'

-,2~_ _ __

ESCORT WHEN ONE OR MORE OF THE FOLLOWING

ESCAPE/ABSCOND HISTORY:

SENTENCE REMAINING:

1

RESTRAINTS:

DETAINER:

SENSITIVE LIST:

no

BELLY CHAIN:
LEG IRONS:

~o

YVlf
~
Yes
No

Receiving and Discharge staff will note times left from and time returned to Institution:
Departed Institution:
Cc:

_ _ _ _ AM/PM

Returned to InStitut;io~n~:--===:::::::~~A:;M;/~P;,M:,

Master Control

CD 259 (09/06)

CLS270BR
!<,.'l/AUPPS

1/28/10
11:20:52
Page
1
Offender: 10539455 Philippi, Brett Leroy
Location: .OSCI 13-34B
DOB: 9/01/1971
Admitted: 9/18/2007
Projected release date: 02/22/2010
Counselor: MURRAY, PAT
(541)881-4743
ACRS: .10
CLS date: 2/09/2009
Adj: NONE
Policy Score: 2
CLS LvI: 2
OVRD:
Fnl: 2
Corrections Information Systems
Classification Summary/Scoring Form

===============================================================================

CLASSIFICATION POLICY ELEMENTS
Risk
Escape History
Sentence Remaining
Detainers
Behavior

137.635: N

137.700: N

Score Description
1
None
o - 48 months
1
Detainer - Not applicable
1
Behavioral Risk Level 2
2

SGL:

Final
1
1

1
2

OPS501l
MARKUSSH

Corrections lntormation Systems
Offender Public Information

2:04:30
1/29/10

Offender .. 10539455 PHILIPPI, BRETT LEROY
Status. Inmate
Location .. OSCI OREGON STATE CORRECTIONAL INSTITUTI Cell. 13-34B
DOC cycles. 03-01-04
Age
DOB
9/01/1971
DNA Collected
38
lnst admission date ... 09/18/2007
Sex
Male
Race WHITE
Height 6'02"
Hair BROWN
Earliest release date. 02/22/2010
Weight 170lbs
Eyes HAZEL
Caseload 00304 MERRELL, SUSAN
*DESIGNATOR*
Classification 2
Court Case
Cnty ORS Abbrev Cls Type Begin Date Yrs-Mos-Days Term Date & Code
9/18/2007 000-035-000
07C40022/02 MARl STLK/CRT F CF I

Bottom
F3=Exit
F11=Menu bar

F4=Prompt
F12=Cancel

F5=Refresh
F6=PTA Caseload
Fl7=Al1 offenses

F9=Retrieve

Oregon State Correctional Institution
Inmate Movement Log

.,s:

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BODY FLUID SPILL REPORT
GENERAL INFORMATION
(

01. "J -/0.

DATE: j ~
TIME: '/ ::
STAFF:

DECONTAMINATION TEAM

i0

-

1) 5J;77~/e"fa ?7

7,' >.

,/

2)

6'-''' -

1'99'78'

SID#
SID#

3)

SID#

4)

SID#

5)

SID#

LOCATION AND SIZE OF CONTAMINATED AREA

POTENTIALLY HAZARDOUS FLUID
clr.cle all that apply

CSlOOD '~

VOMIT

URINE

-

FECES

~~

OTHER Olst):

PERSONAL PROTECTr,.tE EQUIPMENT (PPE) USED
circle all that a

SAFETY GLASSES

FACE SHIELD

I

BODY SUIT

DUST MASK

GAS MASK

DISINFECTANT USED

___

="

.c - eLEACH )

circle all that apply

TBQ

VIRUS:rAT

HEPASTAT

OTHER (list):

WASTE SECURED
CLEAR BAG

RED BAG
II"I'·~I=~

(list):

WASTED DISPOSED
circle all that apply

C

HEALTH

OTHER (list):

cc:

SERVICEs~UNIT 13

_ _ _____

Asst Supt General Setvlces
Security Manager
Safely Manager

ole

DSU

OUTGOING TRASH

•

C)

.J

OSCI

Friday, January 29, 2010

Daily Roster

ICommentsiSignature

'Employee

First Shift - Admin - Ole's

I_O_I_CReJief Ist _ _ . ___

i Acth:itiesOfficer, 1st

---

..

10:00:00PM - 8:00:00AM

I

Goodman. Bryan

·--:-_--==-___-=-I··-=-:-=----=----=---=--=--=--:-:::J
First Shift - Housing Units

~Mahoney.Mike

12:00:00AM - 8:00:00AM
- - --.---

~--------- -~-

[Unit I Supvlst
.~- [Franko,Chri~ - - .
:~
__ ~
ru;;it II SUllY 1st - .
-lTope. Kathy
_
__
__
[Unit'13 Supv 1-st
~P. Michael
-~- t./. -[Unit2Supvlst
.He~racey
- - - ~(l; U· fks+er
_
[Unit 3 Supv-lst
~ d St I
.~
~
[Unit 4 $ul'.v. i'st
-" _ _:~at:~i~;t:en
_ _ _____
_~
___

/t&

=:J

-

--: -

":'=:J

=:=J

First Shift - Non-Housing Security

C.

OI~trol S;;py-:Tsi--·-..-:3! 1ncll~~~J\~~:ot~!'.-.) r.·· . . -. "-..-.'--

[<:::()).

[ Corridor 1st
!.Ii;'spital W a t c h '
Mobile 1st
lJ,:ower 1 - 1st

!

[DSU Supvlst
[DSU Ass! ."ls,,-1_

j

Gabba., Carl.
..
~.
_
.
.
Abraham: DOl!JililL4so1;;;;'-5cn\\F: .
._._ToM. Patrick. _ _ •___.
. .._ _ ~~
Loera. Daniel
._ _
First Shift - Segregation

._.:T

.__
._

__.___._____._

Arnold. Melinda .

_ __---.ll Haro. Jorge

---~

Relief Posts
Post

CommentS/Signature

Employee

12:00:00AM - 8:00:00AM

Planne(\ Absences
Employee

Reason

Start Time

End Time

Start Time
6:00AM

End Time
8:00AM

Denied Leaves
Employee

Reason

Mahoney, Mike

Vacation Time Of 2.00

Hours

--'

..

Shift Trades
!Employee

!Date

!Shift

!Employee

!Date

!Shift

P ~ Pull Post

4(

/"

~T:

\

I

OSCI DAILY ASSIGNMENT CHANGES
Miscellaneous Leave

Post

Employee

'"00<-\i1.0 I

\I

A"

.

DATE:

I) "0<}/lo

I

,

Filled bv

Employee

Hrs Leave
Code

AA~~

L

\,

Start

Stop

Hrs

8'

'6

I?

OT Incumbant?
Y
N

-

V

,

,

Miscellaneous Overtime

Employee

Post

C.. J..•• <-"'> /.~~ ~

r.--...iv« L--

t·d'"\-.... ~fP"
t:''+ ~ Il<-- T

Lew.-C.M4-

1M.

I
Reason

Start

Stop

Hrs

S-"""

'1

'1

5"1}.,..

'1'.,<

'-/

S~~

"I

£./

Notes/Comments:

SL=Sick
FL=Funeral
UBM=Union

VA=Vacation
JD=Jury Duty
LO=LWOP

REVIEWED & APPROVED by

A/~L-

Jan. 29. 2010 7:49AM

Master Control

COIINo.

OREGON CORRECTIONS DIVISION
OREGON STATE PENITENTIARY
AUTHORIZATION FOR RELEASE

TO;

Communications Center

The ab,e ~med inmate(s) will be released on

at

'-\

.

purpose:
Discharge

Transferred

Parole

Detainer

Court

Other

Mester Control

:dls
co: Masl9f Canlrol
jrut/. S$~ulity Mgr,
Racllivlng end Di5-vhs,(ge

osp No. 74tRllv13ed 5·$\

c: WP6) \form74, . ."ped

6577=

P. 1

Public Information
Offender
Name:

SID#
10539455

Age:
Sex:
Height:
Weight:

MARl

38
Male
6' 02"
170 Ibs

DOB:
Race:
Hair:
Eyes:

09/01/1971
White
Brown
Hazel

Caseload 00304 MERRELL, SUSAN

Docket County Of
Number Conviction
07C40022/02

PHILIPPI, BRETT
LEROY

Crime
STALKING/VIOL COURT
ORDER CF

OREGON STATE CORRECTIONAL
Location INSTITUTION
Cell: 13-34B
Status: Inmate( )

Flag: Notifier
DNA Collected
3-1-4
Custody Cycle:
Institution Admission Date 09/18/2007
Earliest Release Date:
02/22/2010
Classification:
2

Sentence
Crime Sentence Begin Length
Class
Type
Date YYY-MMMDDD
CF

Inmate

09/18/2007

000-035-000

Termination Termination
Date
Reason