## Suicide Watch Chronological Log

## Inmate Companions Log

Name of inmate on watch:

Epstein



Register #:

7631E.054



Institution:

Date Watch Began / Ended

7|23|19

ONLY ITEMS ALLOWED:

Sack Meal

Booklet ___ of ___

To be completed by Chief Psychologist at conclusion of watch:

Suicide Smock/Slippers

Suicide Sleeping Bag

Suicide Mattress

Paper Cup

Tampons or



Soap



Foam Sanitarv Belt/Napkin



SWCL - INMATE


EFTA00106353

## 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.

EFTA00106354

<table border="1"><tr><td colspan="4">Suicide Watch Observation Log</td></tr><tr><td>Name of Inmate on watch:</td><td>Epstein</td><td>Reg #: 76318054</td><td>Date: 723</td></tr><tr><td>Time</td><td colspan="2">Observations: Briefly note your observations. Initial all entries.</td><td>In</td></tr><tr><td>1:40am</td><td colspan="2">I m Brought down to Suicide cell #4</td><td></td></tr><tr><td>1:45am</td><td colspan="2">I m Trying on Bed</td><td></td></tr><tr><td>2:00am</td><td colspan="2">I m Sitting on Bed talking</td><td></td></tr><tr><td>2:15am</td><td colspan="2">I m States his cellmate tried to kill him</td><td></td></tr><tr><td>2:30am</td><td colspan="2">I m Sitting on Bed trying to remember what Happen</td><td></td></tr><tr><td>2:45am</td><td colspan="2">I m Sitting on Bed</td><td></td></tr><tr><td>3:00am</td><td colspan="2">I m Sitting on Bed</td><td></td></tr><tr><td>3:15am</td><td colspan="2">I7 Anderson takes pictures of me</td><td></td></tr><tr><td>3:30am</td><td colspan="2">I m Sitting on Bed</td><td></td></tr><tr><td>3:45am</td><td colspan="2">I m Sitting on Bed</td><td></td></tr><tr><td>4:00am</td><td colspan="2">I m Sitting on Bed</td><td></td></tr><tr><td>4:15am</td><td colspan="2">I m Sitting on Bed</td><td></td></tr><tr><td>4:30am</td><td colspan="2">I m Standing at Door talking</td><td></td></tr><tr><td>4:45am</td><td colspan="2">I m Standing at Door talking</td><td></td></tr><tr><td>5:00am</td><td colspan="2">I m Sitting on Bed</td><td></td></tr><tr><td>5:15am</td><td colspan="2">I m Standing at Door</td><td></td></tr><tr><td>5:20am</td><td colspan="2">I m Standing at Door</td><td></td></tr><tr><td>5:15am</td><td colspan="2">I m Standing at Door</td><td></td></tr><tr><td>6:00am</td><td colspan="2">I m Standing at Door</td><td></td></tr></table>

Note to all observers: Legibly print and sign your name at the beginning of your shift.

1

EFTA00106355

<table><thead><tr><th colspan="3">Suicide Watch Observation Log</th></tr><tr><th colspan="3">Name of Inmate on watch: Reg #: Date:</th></tr><tr><th>Time</th><th>Observations: Briefly note your observations. Initial all entries.</th><th>Initials</th></tr></thead><tbody><tr><td></td><td></td><td></td></tr><tr><td></td><td></td><td></td></tr><tr><td></td><td></td><td></td></tr><tr><td></td><td></td><td></td></tr><tr><td></td><td></td><td></td></tr><tr><td></td><td></td><td></td></tr><tr><td></td><td></td><td></td></tr><tr><td></td><td></td><td></td></tr><tr><td></td><td></td><td></td></tr><tr><td></td><td></td><td></td></tr><tr><td></td><td></td><td></td></tr><tr><td></td><td></td><td></td></tr><tr><td></td><td></td><td></td></tr><tr><td></td><td></td><td></td></tr><tr><td></td><td></td><td></td></tr><tr><td></td><td></td><td></td></tr><tr><td></td><td></td><td></td></tr><tr><td></td><td></td><td></td></tr><tr><td></td><td></td><td></td></tr></tbody></table>

Note to all observers: Legibly print and sign your name at the beginning of your shift.

2