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 M -0 I Xam | |||||
| :US Jun | BEIS ming . ON | |||||
| U 0 AM | 17mg C, 11 07 68 W | M | ||||
| 812 gm | 化:11 1 4,5 n M | |||||
| nim | ||||||
| 30m | nAG M | |||||
| na ADVEV IN | ||||||
| : 43 Am | 1561) onl ua | |||||
| 4 M | BeD en 144 | |||||
| Pans | fakes n Jeson 4 | |||||
| 36 m | Midg | |||||
| તે ર | Int Or M | |||||
| am | ING | |||||
| : 20 | 60 W | |||||
| ાં તેર | M PING Cou A 46 | |||||
| וחש | S | |||||
| AM | Cel M | |||||
| 5 ﮐﮯ an | ર જ AA GW turn J 心 ખ | 7 | ||||
| તા AM | Su ಳು ಒ TH-A w ખ | |||||
| (0 m | - CV/ 1- G ખ 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.¶
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