# Suicide Watch Chronological Log ## Inmate Companions Log | Name
of
inmate
on watch:
Register
#:
Institution: | D:
E
W
O
L
L
A
S
M
E
T | | | s
s
e
attr
M
e | | | |----------------------------------------------------------------------------------------|------------------------------------------------------|----|--------|-------------------------------|--|--| | Date
Watch
Began
/
Ended
-1123 | Y I
L
N
O | | | d
ci
ui
S | | | | To
be
completed
by
Chief
Psychologist
at conclusion
Booklet
of | | of | watch: | | | | CONFIDENTIAL SDNY_00009534 EFTA00033867 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 OnnnciS r+ EFTA00033868 | Suicide Watch Observation Log | | | | | | | |-------------------------------|--------------------------------------------------------------------|----------|--|--|--|--| | Name of Inmate
on watch: | 74318.05
ostein
Reg #: | | | | | | | Time | Observations: Briefly note your observations. Initial all entries. | Initials | | | | | | form | urribe
Sreaght
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ON | | | | | | | U
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me | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | 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_00009537 EFTA00033870 #### 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: ### July 23120%q a+ tAom,A This a continuation log book for this watch. Enter 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_00009538 EFTA00033871 | | Suicide Watch Observation Log | | |---------|-----------------------------------------------------------------|--| | | Reg #: 76318-054 Date: | | | | ervations: Briefly note your observations. Initial all entries. | | | 1.40AM | Inmate brought down to suicide cell #4 | | | 1.45 AM | Inmate tying on bed | | | 2.00AM | Inmate sitting on bed talking | | | 2:15AM | Inmate States his cellmate tried to Kill high | | | 2:30AM | Inmate sitting on bed trying to remem | | | | What nappened | | | 2:45 AM | Inmate sitting on bed | | | S.COAM | Inmate sitting on bed | | | 3.15AM | Lt. Anderson takes pictures of inmate | | | 3:30AM | Inmate Sittim on bed | | | 3.45 AM | 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 | | | D. 30AM | Inmate Standing at door | | | 5:45 AM | Inmate standing at door | | | 6.00AM | Inmate Standing
at door | | | 6.15AM | nmate 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. .