Suicide Watch Chronological Log¶
Inmate Companions Log¶
| Name of inmate on watch: Institution: | D: E W O L L A S M E T | s s e attr M e | ||||
|---|---|---|---|---|---|---|
| Date Watch Began / Ended | Y I L N O | d ci ui S | ||||
| To be completed by Chief Psychologist at conclusion Booklet of | of | watch: |
SWCL - INMATE¶
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.¶
| Suicide Watch Observation Log | |||||
|---|---|---|---|---|---|
| Name of Inmate on watch: | apstein Reg #: | ||||
| Time | Observations: Briefly note your observations. Initial all entries. | Initials | |||
| :40 Am | uilist M orcuali- xam -0 | ||||
| :US mi | REID mina . ON | ||||
| ದ 2 AM | le . 11 0 117ma 601 M | ||||
| 811 gm | at 611 415 M | ||||
| nim | |||||
| 30m | MAG M | ||||
| na -16004 11 | |||||
| 11 | 1561) 41 m | ||||
| rw | 17/10 IM w | ||||
| ( Am | takes 44 | ||||
| S m | |||||
| 10 M | |||||
| ್ಕೋ | |||||
| : 30 | 60 W | ||||
| ાં તે ર | M ma COV | ||||
| రు um | W | ||||
| AM | Cel TV D M | ||||
| 530 an | turn Junia 8 18-1 Cor ખ র্তা | ||||
| નાનુ AM | Cur など Then w ખ | ||||
| (0 m 0 | - ar/ n G M met | ||||
Note to all observers: Legibly print and sign your name at the beginning of your shift.¶
.¶
Suicide Watch Chronological Log¶
Staff Suicide Watch Observers Only¶
Name of inmate on watch:¶
Ep54-elin. J.¶
Register #:¶
Institution:¶
MOT’, New \leyK¶
Date Watch Began / Ended¶
July 23,‘2.01C1 J-v)/ iq¶
To be completed by Chief Psychologist at conclusion of watch:¶
Booklet of¶
SWCL - STAFF¶
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 23)20in a+ (.MOAN¶
This a continuation log book for this watch.¶
. . ” Eriter date and time this watch book was¶
Instructions to Observer:¶
Document your observations every )5 minutes.¶
Legibly print and sign your name at the beginning of your shift.¶
| Suicide Watch Observation Log | ||
|---|---|---|
| Rea #: | ||
| Observations: Briefly note your observations. Initial all entrie | ||
| 1.40AM | Inmate brought down to suicide cell #4 | |
| 1.45AM | Inmate lying on bea | |
| 2.00AM | Inmate sitting on bed talking | |
| 2:15AM | Inmate States his cellmate tried to Kill him | |
| 2:30AM | Inmate sitting on bed trying to remember | |
| What happened | ||
| 2:45 AM | Inmate sitting on bed | |
| 3.00 AM | Inmate sitting on bed | |
| 3.10AM | takes pictures of inmate | |
| 3:30AM | Inmate Sitting on bed | |
| 3.45 AM | Inmate sitting on bed | |
| 4:00AM | Inmate Sitting on hed | |
| 4. 15AM | Inmate Sitting on bed | |
| 4:30AM | Inmate Standing at acor talking | |
| 4.45AM | nmate Starting at door talkim | |
| 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 11 | |
| 6.00AM | Inmate Standing at door | |
| 6.15AM | nmate standin 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.¶