Suicide Watch Chronological Log¶
Inmate Companions Log¶
Name of inmate on watch:¶
Epstein¶
Register #:¶
7431E.054¶
Institution:¶
Date Watch Began / Ended¶
7 | 23 | 19¶
ONLY ITEMS ALLOWED:¶
Sack Meal¶
To be completed by Chief Psychologist at conclusion of watch:¶
Booklet ___ of ___¶
Suicide Smock/Slippers¶
Suicide Sleeping Bag¶
Suicide Mattress¶
Paper Cup¶
Soap¶
Tampons or¶
Exam Canitant Ralt/Nankin¶
SWCL - INMATE¶
EFTA00110502¶
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: ___¶
$$\Box $$ 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.¶
EFTA00110503¶
| Time | Observations: Briefly note your observations: initial all entries. |
| 1:40am | I m Brought down to Surprise cell #4 |
| 1:45am | I m lying on Bed |
| 2:00am | I m Sitting on Bed talking |
| 2:15am | I m States his cellmate tried to kill him |
| 2:30am | I m Sitting on Bed trying to remember what Happen |
| 2:45am | I m Sitting on Bed |
| 3:00am | I m Sitting on Bed |
| 3:15am | It takes pictures of me |
| 3:30am | I m Sitting on Bed |
| 3:45am | I m Sitting on Bed |
| 4:00am | I m Sitting on Bed |
| 4:15am | I m Sitting on Bed |
| 4:30am | I m Standing at Door talking |
| 4:45am | I m Standing at Door talking |
| 5:00am | I m Sitting on Bed |
| 5:15am | I m Standing at Door |
| 5:20am | I m Standing at Door |
| 5:35am | I m Standing at Door |
| 6:00am | I m Standing at Door |
Note to all observers: Legibly print and sign your name at the beginning of your shift.¶
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