# Suicide Watch Chronological Log

Inmate Companions Log

Name of inmate on watch:

Institution:

mcc

Date Watch Began / Ended

July 23, 2019 - July 24, 2019

To be completed by Chief Psychologist at conclusion of watch:

Booklet of

ONLY ITEMS ALLOWED:

Suicide Smock/Slippers

Suicide Blanket

Suicide Mattress

Paper Cup/Soap



W Paper Spoon



Finger Toothbrush

Tampons or Foam Belt/Napkin



SWCL - INMATE




EFTA00140505


# 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 minutes.

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



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