Suicide Watch

Suicide Watch Chronological Log Inmate Companions Log Name of inmate on watch: er3 :Le'YN Register #: c-51/41 Institution: Date Watch Began / Ended n (241 ONLY ITEMS ALLOWED: In C MO a ▪ al CO ch u O W E • cL) fa av 'z5 oita v) To be completed by Chief Psychologist at conclusion of watch: Booklet of Suicide Mattress SWCL - INMATE EFTA00120189 STAPLE LOCAL PROCEDURES HERE Check one of the following: This is the initial log book for this suicide watch. Enter date and time watch began: K This is a continuation log book for this watch. Enter date and time this watch book was initiated: Instructions to Observer: Document your observations every minutes. Legibly print and sign your name at the beginning of your shift. EFTA00120190 Suicide Watch Observation Log Name of Inmate aryt on watch: ecn Reg #: 145(13 O51/41 Date: -1 25 i lq Time Observations: Briefly note your observations. Initial all entries. Initials 1 :14°Alv IM &cot Ok+ a6t4