# Suicide Watch Chronological Log

Inmate Companions Log

Name of inmate on watch:

Epstein

Register #:

76318-054

Institution:

mcc

Date Watch Began / Ended

July 23, 2019 - July 24, 2019

July 23,2019-July 24,2019

ONLY ITEMS ALLOWED:

Suicide Smock/Slippers

Suicide Blanket

To be completed by Chief Psychologist at conclusion of watch:

Booklet of

Suicide Mattress

Paper Cup/Soap



SW Paper Spoon



Finger Toothbrush

Tampons or Foam Belt/Napkin



SWCL - INMATE


EFTA00108431

## 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:

7-23-09 7:00am

Instructions to Observer:

Document your observations every 15



Legibly print and sign your name at the beginning of your shift.