EFTA00138026

# Suicide Watch Chronological Log

Inmate Companions Log

Name of inmate on watch:

Epstein



Register #:



76318-054

Date Watch Began / Ended

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 \underline{1} of \underline{1}

Suicide Mattress



Paper Cup/Soap





SW Paper Spoon





inger Toothbrush



Tampons or Foam Belt/Napkin



SDNY_00014139
SWCL - INMATE


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EFTA00138027

# STAPLE LOCAL PROCEDURES HERE

Check one of the following:

$$\Box$$ 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 17:00am

Instructions to Observer:

Document your observations every 15 minutes.

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



SDNY_00014140






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