Harvey Earl Elliott

CUSTODIAL DEATH REPORT Agency Information ORIGINAL CDR Number: PA16140CJ Version Type: VERSION Report Date: 4/6/2016 10:20 AM Status: Submitted Agency/Facility Information Harris County Agency Name: Agency Address: 1200 Baker Street Sheriff's Office Agency City: Houston Agency State: TX Agency Zip: 77002 Director Information Director Salutation: Sheriff Director First Name: Ron Director Middle Name: Director Last Name: Hickman Reporter Name: Ronny Taylor Reporter Email: [email protected] Decedent Information Custodial Death Report :: Page 1 of 6 --- PAGE BREAK --- Identity of Deceased First Name: Harvey Middle Name: Earl Last Name: Elliott Suffix: Date of Birth: 3/13/1955 Sex: Male Race: Age At Time Of Death: 61 Date/Time of Custody (arrest, incarceration) (mm/dd/yyyy hh:mm AM/PM): Date/Time of Custody or 1/4/2016 12:36 PM Incident: Date/Time of Death (mm/dd/yyyy hh:mm AM/PM): Death Date and Time: 4/2/2016 1:52 AM Manner / Cause of Death Has a medical examiner or coroner conducted an evaluation to determine a cause of death? Medical Examiner/Coroner Yes, results are Evaluation?: available What was the manner of death? (select only one) Natural Manner of Death: Causes/Illness Custodial Death Report :: Page 2 of 6 --- PAGE BREAK --- Medical Cause of Death: Medical Cause of Death: Complications of empyema and lobar pneumonia Had the decedent been receiving treatment for the medical condition that caused the death after admission to your jail's jurisdiction? Medical Treatment: Yes If death was an accident, homicide or suicide, who caused the death? Not applicable; cause of death was Who caused the death?: suicide, intoxication or illness/natural causes If a weapon caused the death, what type of weapon caused the death? (Hold CTRL to select all that apply) Type of weapon that caused Not Applicable death?: Was the cause of death the result of a pre-existing medical condition or did the decedent develop the condition after admission? Pre existing medical Pre-existing medical condition?: condition If death was an accident, homicide or suicide, what was the means of death? Not applicable; cause of death was Means of Death: intoxication or illness/natural causes Custodial Death Report :: Page 3 of 6 --- PAGE BREAK --- Location / Custody Information Where did the event causing the death occur? Street Address: 6411 Fannin City: Houston County: Harris Zip: What location category best describes where the event causing the death occurred? Location Category: What type of custody/facility was the Decedent in at the time of death: Type of Custody: County Jail Specific type of custody/facility: Specific Type of Custody/Facility: Hospital/Infirmary What was the time and date of the deceased's entry into the law enforcement facility where the death occurred (mm/dd/yyyy hh:mm AM/PM): Entry Date Time: 1/4/2016 12:36 PM Where did the death occur? Death Location: At medical facility General Information Custodial Death Report :: Page 4 of 6 --- PAGE BREAK --- Did any other law enforcement agencies respond to calls for service related to this incident? Other Agencies Respond?: What were the most serious offense(s) with which the deceased was (or would have been) charged with at the time of death? Offense 1: Assault / Family Violence Offense 2: Offense 3: Were the Charges:: Filed What were the types of charges or reason for contact? (Hold CTRL to select all that apply) Type of Offense: At any time during the incident and/or entry into the law enforcement facility, did the decedent display or use a weapon? Decedent display/use of weapons: At any time during the incident and/or entry into the law enforcement facility, did the decedent: Attempt to Injure Others?: At any time during the incident and/or entry into the law enforcement facility, did the decedent: Appear intoxicated (alcohol or No Make suicidal statements?: drugs): Exhibit any mental health Exhibit any medical problems?: problems?: At any time during the incident and/or entry into the law enforcement facility, did the decedent: Custodial Death Report :: Page 5 of 6 --- PAGE BREAK --- Barricade self or initiate Resist being handcuffed or No standoff?: arrested?: Physically attempt/assault Gain possession of officer's officer(s): weapon: Verbally threaten other(s) Escape or attempt to including law: escape/flee custody: Attempt gain possession officer's weapon: Was the deceased under restraint in the time leading up to the death or the events causing the death? Under Restraint: No Summary of Incident Summary of How the Death Occurred: (max. 30,000 characters) Summary: On Saturday, April 2, 2016, while in HCSO custody, Inmate Harvey Elliott died at Memorial Hermann Hospital (6411 Fannin, Houston, Texas 77030). At 0152 hours, Inmate Elliott was pronounced deceased from cardia arrhythmia by attending physician Sai Med. Custodial Death Report :: Page 6 of 6