Suicide Watch
Chronological
Log
Inmate Companions Log
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To be completed by Chief Psychologist at conclusion of watch:
Booklet of I
SWCL - INMATE
CONFIDENTIAL SDNY_00009544
EFTA00033875
.
E'
PROCEDURES HIR
STAPLE LOCAL
following:
Check one of the
icide watch.
log book for this su
O This is the initial
e watch began:
Enter date and tim
tch.
ation lo g book for this wa
This is a continu
s initiated:
e th is watch book wa
Enter date and tim
1 -7,g -0e 11-y)
server:
Instructions to Ob
observations every 13 minutes.
Document your
ur shift.
your name at th e beginning of yo
Legib ly print and sign
CONFIDENTIAL EFTA00033876
PP37 ("N\
Page I of I
NYMBJ 531.01 * INMATE HISTORY * ,• G7-24-2019
PAGE 001 OF 001 * MED DY ST 12:32:30
REG NO..: 176318-054 NAME EPSTEIN, JEFFREY EDWARD
CATEGORY: DS FUNCTION: DIS FORMAT:
FCL ASSIGNMENT DESCRIPTION START DATE/TIME STOP DATE/TIME
NYM NOT MED CL NOT MEDICALLY CLEARED 07-06-2019 2124 CURRENT
NYM SUIC WATCH SUICIDE WATCH 07-23-2019 0140 07-24-2019 0845
G0005 TRANSACTION SUCCESSFULLY COMPLETED - CONTINUE PROCESSING IF DESIRED
•
https://bop.tep.doj.gov:9049/SENTRYMPP160.do 7/24/2019
CONFIDENTIAL SDNY_00009546
EFTA00033877
Suicide ilitch Observation Log
Name.of Ornate , ,
an iratch: Reg I: 3/g r:CS±Z.Aate: 72 ?Pi
Time Observations: Briefly note your observations. Initial all entries. initials
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Note to all observers: Legibly print and sign your name at the beginning of your shift.
1
CONFIDENTIAL SDNY_00009547
EFTA00033878
Suicide Watch Observation Log
Name of Inmate
on watch: *)•4 4 440 Reg #: 1413/g —C.)749 - Date:07- VT -it
Time Observations: Briefly note your observations. Initial all entries. Initials
. ,
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Note to all observers: Legibly print egg sign your name at the beginning of your shift.
2
CONFIDENTIAL SDNY_00009548
EFTA00033879
Suicide Watch Observation Log
t octi:n mate Ei3:72, 704,7 Reg #: 1 &3/K- -05-4 Date:
on ath 7 .23 •//
Time Observations: Briefly note your observations. Initial all entries. Initials
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Note to all observers: Legibly print and sign your name at the beginning of your shift.
3
CONFIDENTIAL SDNY_00009549
EFTA00033880
Suicide Watch Observation Log
Name of Inmate
on watch: Jel 1-1 Reg if: %t C.gr—Date: . 7• 2. -) 1
Time Observations: Briefly note your observations. Initial all entries. Initials
7h074.11
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Note to all observers: Legibly print tqg sign your name at the beginning of your shift.
4
CONFIDENTIAL SDNY_00009550
EFTA00033881
Suicide Watch Observation Log
Nemo of Inmate
on Watch: ••• C-P51-al - .7. . ••• •: • * Reg #7/03 1T- 0.5q -bp;7/49
Time Observations: Briefly note your observations. Initial all entries. Initials
i OA nrigArli r 4905Plactkie0San--C . "fraSiiiia • r
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Note to all observers: Legibly print Rai sign your name at the beginning of your shift.
5
CONFIDENTIAL SDNY_00009551
EFTA00033882
Suicide Watch Observation Log
ot I nz cihrate
n c 9s k .ei, n
Reg #: 7 63 lib — 064 Date: 7/X4/11
Time Observations: Briefly note your observations. Initial all entries. Initials
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Note to all observers: Legibly print and sign your name at the beginning of your shift.
6
CONFIDENTIAL SDNY_00009552
EFTA00033883
Suicide Watch Observation Log
totlea;ocfhl:nmate E? 54 et n Reg #: -7b3 lir 054 Date: 7/a409
Time Observations: Briefly note your observations. Initial all entries. Initials
06,0AM -3 -V 1 g(29\ O1\ aV eNc 5 A 0 be, *iaitAft act -41.4)s
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Note to all observers: Legibly print and sign your name at the beginning of your shift.
7
CONFIDENTIAL SDNY_00009553
EFTA00033884