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¶
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.¶
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.¶
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