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: ro U 5 CO In C2 ra= CO ch u O W E a) a) fa av 'z5 tiS cr To be completed by Chief Psychologist at conclusion of watch: Booklet of Suicide Mattress SONY pitit ra C7 6466 A tA)00055 I EFTA00134965 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. SDNY_00006467 EFFA_00000552 EFTA00134966 Suicide Watch Observation Log Name of Inmate f,4 on watch: ( f 5 I, e ( 1 Reg #: 1 4 5(<5 054 Date: 1 25 Time Observations: Briefly note your observatio