## Suicide Watch Chronological Log ### Inmate Companions Log | Name
of
inmate
on watch:
Register
#:
GSLI
Institution: | D:
E
W
O
L
L
A
S
M
E
T | | | s
s
e
attr
M | | | |----------------------------------------------------------------------------------------|------------------------------------------------------|----|--------|--------------------------|--|--| | Date
Watch
Began
/
Ended
1123
19
- | Y I
L
N
O | | | e
d
ci
ui
S | | | | To
be
completed
by
Chief
Psychologist
at conclusion
Booklet
of | | of | watch: | SWCL - INMATE | | | CONFIDENTIAL SDNY_00009269 EFTA00033775 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: ❑ 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 SDNY Onnn477n EFTA00033776 | Suicide Watch Observation Log | | | | | | | | |-------------------------------|--------------------------------------------------------------------|----------|--|--|--|--|--| | Name of Inmate
on watch: | 76318.05
astein
Reg #: | | | | | | | | Time | Observations: Briefly note your observations. Initial all entries. | Initials | | | | | | | :40 Am | uicibe
M
orcuali-
I Xam | | | | | | | | :45 Juni | -
ming
REL
.
ON | | | | | | | | U
2
AM | 1749
M | | | | | | | | gm | cill
H
p
M | | | | | | | | | nim | | | | | | | | :30mm
0 | 1746
ist
ન્ડી
M | | | | | | | | | na
W | | | | | | | | : 41
12 | 1561)
uni
ખ | | | | | | | | Q
rhvi | FITMA
m
en | | | | | | | | Am | 44 | | | | | | | | 0
m | | | | | | | | | | Ov | | | | | | | | ann | | | | | | | | | | | | | | | | | | : 30 | W
60 | | | | | | | | ાં તેર | M
Porce
Cou | | | | | | | | U
וחש | S | | | | | | | | AM | Cel
M
1 V | | | | | | | | 20 gm
3 | 5 8
la-
the in in on
Cor
ખ | | | | | | | | તાર
AM | Su
ನ್ನು ನ ಹಾಗೂ ನಿರ್ಮಿಸಿದ
TH-A
w
ખ | | | | | | | | 400
m | -
ar/
A-
M
6
me
1 | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | Note to all observers: Legibly print and sign your name at the beginning of your shift. #### CONFIDENTIAL . . # Suicide Watch Chronological Log ### Staff Suicide Watch Observers Only Name of inmate on watch: Register #: (31p)-054 Date Watch Began / Ended duly 23,201q — . 0/ C1 To be completed by Chief.Psychologist at conclusion of watch: Booklet of SWCL - STAFF CONFIDENTIAL SDNY_00009272 EFTA00033778 #### 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: ### du l4 23120%q a+ tAom,A This a continuation log book for this wafdh. Enier date and time this watch book Instructions to Observer: Document your obserVations every 15 minutes. Legibly print and sign your name at the beginning of your shift. CONFIDENTIAL SDNY_00009273 EFTA00033779 | | Suicide Watch Observation Log | | |---------|--------------------------------------------------------------------|-----| | | Reg #: 76318-054 Date: 7 | 192 | | | Observations: Briefly note your observations. Initial all entries. | | | 1.40AM | Inmate brought down to suicide cell #4 | | | 1.45 AM | Inmate lying on bea | | | 2.00AM | Inmate sitting on bed talking | | | 2:15AM | Inmate States his cellmate tried to Kill his | | | 2:30AM | Inmate sitting on bed trying to remember | | | | What nappence | | | 2:45 AM | Inmate sitting on bed | | | S.COAM | Inmate sitting on bed | | | 3.10AM | takes pictures of inmate | | | 3:30AM | Inmate sittim on bed | | | 3.45AM | Inmate sitting on bed | | | 4:00AM | Inmate Sitting on bed | | | 4. 15AM | nmate Sitting on bed | | | 4.30AM | Inmate Standing at acor talking | | | 4.45AM | nmate Starting at door talking | | | 5:00AM | nmate sitting on bed | | | 5.15AM | inmate standing at door | | | 5.30AM | Inmate Standing at door | | | 5:45 AM | Inmate standing at door
هه | | | 6.00AM | Inmate Standing
at door | | | 6.15AM | nonate standing
at door | | | 6:30AM | nmate standing at door | | | 6'.45AM | nmate standing at door | | | 7:00 AM | Inmate standing at door | | | | | | Note to all observers: Legibly print and sign your name at the beginning of your shift. .