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Suicide Watch
Chronological
Log
Inmate Companions Log
Name of inmate on watch:
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To be completed by Chief Psychologist at conclusion of watch:
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CONFIDENTIAL
SWCL - INMATE
SDNY_00009544
EFTA00033875
.
STAPLE LOCAL PROCEDURES HIRE'
Check one of the following:
O
This is the initial log book for this suicide watch.
Enter date and time watch began:
This is a continuation log book for this watch.
Enter date and time this watch book was initiated:
1
-7,g -0e 11-y)
Instructions to Observer:
Document your observations every
13
minutes.
Legibly print and sign your name at the beginning of your shift.
CONFIDENTIAL
EFTA00033876
PP37
NYMBJ
531.01 *
PAGE 001 OF 001 *
("N\
INMATE HISTORY
MED DY ST
REG NO..: 176318-054 NAME
CATEGORY: DS
FUNCTION: DIS
FORMAT:
Page I of I
* , •
G7-24-2019
12:32:30
FCL
NYM
07-06-2019 2124 CURRENT
NYM
07-23-2019 0140 07-24-2019 0845
G0005
•
https://bop.tep.doj.gov:9049/SENTRYMPP160.do
CONFIDENTIAL
7/24/2019
SDNY_00009546
EFTA00033877
Suicide ilitch Observation Log
Name.of Ornate
, ,
an iratch:
Reg I:
3/g r:CS±Z.Aate: 72
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initials
Time
Observations: Briefly note your observations. Initial all entries.
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Note to all observers: Legibly print and sign your name at the beginning of your shift.
1
CONFIDENTIAL
SDNY_00009547
EFTA00033878
Suicide Watch Observation Log
Name of Inmate
on watch:
*)•4
4
440
Reg #: 1413/g
—C.)749 - Date:07- VT -it
Time
Observations: Briefly note your observations. Initial all entries.
Initials
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Note to all observers: Legibly print egg sign your name at the beginning of your shift.
2
CONFIDENTIAL
SDNY_00009548
EFTA00033879
Suicide Watch Observation Log
on
Reg #: 1 &3/K---05-4
Date:
7 .23 •//
t
ath
octi:n mate Ei3:72, 704,7
Time
Observations: Briefly note your observations. Initial all entries.
Initials
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Note to all observers: Legibly print and sign your name at the beginning of your shift.
3
CONFIDENTIAL
SDNY_00009549
EFTA00033880
Suicide Watch Observation Log
Name of Inmate
on watch:
Jel 1-1
Reg if: %t
C.gr—Date: . 7• 2.
-) 1
Time
Observations: Briefly note your observations. Initial all entries.
Initials
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Note to all observers: Legibly print tqg sign your name at the beginning of your shift.
4
CONFIDENTIAL
SDNY_00009550
EFTA00033881
Suicide Watch Observation Log
Nemo of Inmate
on Watch: •••
C-P51-al - .7. . ••• •: • * Reg #7/03 1 T- 0.5q -bp; 7/49
Time
Observations: Briefly note your observations. Initial all entries.
Initials
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Note to all observers: Legibly print Rai sign your name at the beginning of your shift.
5
CONFIDENTIAL
SDNY_00009551
EFTA00033882
Suicide Watch Observation Log
notInz cihrate
c 9s k .ei, n
Reg #: 7 63 lib — 064
Initials
Time
Observations: Briefly note your observations. Initial all entries.
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Note to all observers: Legibly print and sign your name at the beginning of your shift.
6
CONFIDENTIAL
SDNY_00009552
EFTA00033883
Suicide Watch Observation Log
ottlea;ocfhl:nmate E? 54et n
Reg #: -7b3 lir 054
Time
Observations: Briefly note your observations. Initial all entries.
Initials
06,0AM -3 -V 1 g (29\ O1\ aV eNc 5 A 0 be, *iaitAft
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Note to all observers: Legibly print and sign your name at the beginning of your shift.
7
CONFIDENTIAL
SDNY_00009553
EFTA00033884