Suicide Watch

Suicide Watch Chronological Log Inmate Companions Log Name of inmate on watch: Register #: C G.SLi Institution: Date Watch Began / Ended -1/23 19 ONLY ITEMS ALLOWED: To be completed by Chief Psychologist at conclusion of watch: Booklet of Suicide Mattress c C c • o c to o a- Q. co cz a. co Fes- < CONFIDENTIAL SWCL - INMATE SDNY_000 10835 EFTA00139516 STAPLE LOCAL PROCEDURES HERE Check one of the following: K 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. CONFIDENTIAL sow nem nR-46 EFTA00139517 Suicide Watch Observation Log Name of Inmate eir on watch: s4e,.. n Reg #: 14,51E) C6 Date: -1 23 1 iq Time Observations: Briefly note your observations. Initial all entr