Suicide Watch
Chronological
Log
Inmate Companions Log
Name of inmate on watch:
ONLY ITEMS ALLOWED:
Register #:
Suicide Mattress
Institution:
Date Watch Began / Ended
-1123
To be completed by Chief Psychologist at conclusion of watch:
Booklet of
SWCL - INMATE
CONFIDENTIAL SDNY_00009534
EFTA00033867
STAPLE LOCAL PROCEDURES HERE
Check one of the following:
h.
❑ This is the initial log book for this suicide watc
Enter date and time watch began:
❑ This is a continuation log book for this watch.
ted:
Enter date and time this watch book was initia
Instructions to Observer:
minutes.
Document your observations every
of your shift.
Legibly print and sign your name at the beginning
CONFIDENTIAL SDNY OnnnciS r+
EFTA00033868
Suicide Watch Observation Log
Name of Inmate eip i
on watch: s1 et,n Reg #: 14 , 5 1b• C6 Date: - 1 25 1 lq
Time Observations: Briefly note your observations. Initial all entries. Initials
I : 14°A;Di kiM S."(5IA+ 66.4.44 AO ctn it I. 14. Cell 11 4 A .--
I .L'ICAlin /14.1AI Ilil&l i oki geo ...---- 0 .
4t z)e j I A_ tfriiii
2 "`kwt Illy 1 it --- , ---
slciiiv, %
.2 µ+ 5 c edln,-k -tr.( f..1 16 Icili
kim 0 --
2 . " ,,,4,. 1,A4 S; 1"b i4 .4 c.),e_i -{rti awl h (4..44 L47--
wke, 4- ‘TiAffei4 cg
2 ' 4 5,1,4„. (I 0.4 i ch 4n (mr 3 6 D
%0„,, C i .., ge
3.'i LA L ei A /3‘fih } 4-a lc ..,
t9 .is 1z4 ce.f n
6 - ,/w, eg ,
3 :56sfkv ilvi c I l'h;; an 6( 0
+As
04 g 0-3 a., ?-93 Er ."
•c
g" kivu ca v al 0, a
'I CD ‘: ,*-1Ci l)0 cm. 7,t 7b
t < L. -a rm
11° 1 WA S r g 44— thle"-- --6 --( kW 9
SIC cfl‘-4.14., --)a 1.7 -fi-kko
, tfrl i
,Ay, 17 S;41.m n40 - i
,51-1A-vi k net t 4,414:-t :: 4-4- bCel
ist
s
ec . 7eftt^- vki ,.•
c r A het lit i Altrik -\W Ad-
2 ---.
e°49v., ttim . Inn, i, i 1) 64 cti -P---
Note to all observers: Legibly print and sign your name at the beginning of your shift.
1
CONFIDENTIAL SDNY_00009536
EFTA00033869
Suicide Watch
Chronological
Log
Staff Suicide Watch
Observers Only
Name of inmate on watch:
Register #:
(31p)-054
Date Watch Began / Ended
duly 23,201q — . 0 / C1
To be completed by Chief. Psychologist at conclusion of watch:
Booklet of
SWCL - STAFF
CONFIDENTIAL SDNY_00009537
EFTA00033870
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:
July 23120%q a+ tAom,A
This a continuation log book for this watch.
Enter date and time this watch book
Instructions to Observer:
Document your obserVations every 15 minutes.
Legibly print and sign your name at the beginning of your shift.
CONFIDENTIAL SDNY_00009538
EFTA00033871
E-7,34ein Suicide Watch Observation Log
Nam of Inmate
on watch: Reg #: ---4(i) 51?) - n54 Date: 1123 )(4
Time Observations: Briefly note your observations. Initial all entries. Initials
1 4 0 AM InmciAe. bY0 14 down 1-0 at ic icle Cell-44
I '.4454.4 1nrnae. Iyin on bed
ZODAm Inman-e 5 f-1-1-iol On bed -I-in Iking
2 . 154 )4 Inrrok L5ta+e31-1; 5 ceillT)211-e -I-Ke(i +0 KU km
2'.,3OAm I nrret-3e. ,5i A-i-ins on bed -41it 9 +0 remember
Whi- hnpperifft
2'.45 Am Inmate 5i4-kr- on bed
3'.ODAM Inryitife_ 6i4-1-ic.n an bed
3115 A to L. ArYle-Ka:1) 416 VeS pi cures d i nrill4e.
5 13oAm I nron4-e c5i1-Airo on bed
I
'.-.46Atvi Inty4+e ,5i-i-tin9 on bed
4-•.0iDA,4 Incroi-e, 54-ting on bed
4', SAM I nrnn4e. Loi-Hing Dfl bed
4.3oAto nrra-Fe ,5-InnJit-13 ai- day -1-alking
4.-45AM I rynni-e. (5-brriir oi- door 4,14:1(9
5. 00Atvi Inmai-ei 51.1-hr on bed
5 A5Am I nmale. Qslarrlirg 0+ door
5.3c,Am nmal-e. (54-nnot no 04 door
5 ',45Am I nrn9-fe `'Standing a+ door
•*. 00Am C ,3-frn Auor
(D'AsAis4 Inryule, (5-lancii ' r1- door
62:30Am inryyTi-e. (.540ni‘ro 04 dcot .
Lo'.45Am 11-urci+e, (Non6ins 03- ()nor
7 -. 00A&A In mai-e- 640n6in5 at (icor
Note to all observers: Legibly print and sign your name at the beginning of your shift.
CONFIDENTIAL SDNY_00009539
EFTA00033872