Suicide Watch
Chronological
Log
Inmate Companions Log
c
Name of inmate on watch:
C
Er5)-e ,Y,
ONLY ITEMS ALLOWED:
cu
talc
Register #: •— c1:1
Suicide Mattress
GSLi (i) qp a
C
U
Institution: O cp
• o
E w
t° cr) c
CU <1) • 0 (.1
Date Watch Began / Ended 6" - Q. ca.
a no
- 1123 19 co :3 0 CO
a. co t— <
tr) V) V)
To be completed by Chief Psychologist at conclusion of
watch:
Booklet of
SWCL - INMATE
CONFIDENTIAL SDNY_00009575
EFTA00033886
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 Onnn457R
EFTA00033887
Suicide Watch Observation Log
Name of Inmate ap l
on watch: s 1 ei, n Reg a: 14, 5 1/3• C6 Date: —1 25 iq
Time Observations: Briefly note your observations. Initial all entries. Initials
I : 14°A;Di 1M S .6114 oaw, 4O ctAll I. 14. ce 11 11-4 _
I "IcAni /14.1O,‘ li ibt 0\ 0,,i geo , 0.
1.1)e j A_ ife,iii
2 "`Aivi Ito s ( 1)4" o,, --- . --
.2 stchv, t im l
5 r edln,-k -tr.( f..1 16 Icili
kim . --
2 .",,,... 1,A. S; c-bi .. c.),e_i 'h'l.{ awl h vtev.a,..(Lv--
wkA 4- ‘TIAffel. CJ
2' 45,,,,... (I 0.4 i ch 4n (mil 3 6 D
e",mA S ikil ge b et, —
I ic 14 n f
3 :5601W` i OA Sit-h; a. 6( 0
?-93 El ---
.Ww. V: ca - v en re, a
tio 1 w„ ctli...14.,
s:k-,,,u.-?.4 14,7 . 1--kko i
kt
t <
q 44- ti4e-- 4 -4--( ['iv,
- qr , to.4
nvi 1
7 S;41mci4 (0) - 1 rf—
LS I-VW k -7----1i /" N L vs 4-"E Lite
a>
t " 7IrkW- :A -bini ii , k. At (Af
cet_C ....
CtrA WI 1 KI
3itk_\,,,, X i—
Note to all observers: Legibly print and sign your name at the beginning of your shift.
1
CONFIDENTIAL SDNY_00009577
EFTA00033888
Suicide Watch
Chronological
Log
Staff Suicide Watch
Observers Only
Name of inmate on watch:
EP54-etio. j•
Register #:
€031F5-054
Date Watch Began / Ended
Juki 23,201q — 0/
To be completed by Chief. Psychologist at conclusion of watch:
Booklet of
SWCL - STAFF
CONFIDENTIAL SDNY_00009578
EFTA00033889
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+ rAomo
This a continuation log book for this watcch.
Enier date and time this watch book was initiated:'
Instructions to Observer:
Document your obserVations every 15 minutes.
Legibly print and sign your name at the beginning of your shift.
CONFIDENTIAL SDNY_00009579
EFTA00033890
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
Z.ODAm Inman-e 5f-1-1-iol On bed -I-in IKing
2 . 154 )4 Inrrok L5ta+en-hi 5 ceillT)211-e -I-Ke(i +0 KU km
2'30/44 InryOrle ,5iA-i-ins on be-\ -41if-9 +a remember
whi- hnppepert
2. 45Am inmate Oi4-kr- on bed
3'.ODAM Inrylifc .1 cn bed
6i-i-Hr
3115A to L. ArYle-Ka:1) 416 VeS pi cures d i nrill4e.
5 '.3oAm I nron4-e c5i1-Airo on bed
I
'.-.46Atvi I nty4+e ,5i4--1-in9 on bed
4-•.0iDA,4 Inrrad-e, 54-ting on bed
4', SAM Inrnn4e. ,...1.14-i-ing 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+-hrg on bed
5 A5Am I nmale. Qslarrlirg 0+ door
5.3c)Am nmal-e. (54-nnot no O4 door
5.,45Am Irwm-fe c_*Indin9 a+ door
•*. 00Am C ,3-frn Auor
(D'AsAm Inryule, (5-lancii ' r1- door
62:30Am inryyTi-e. (.540ni‘ro 04 dcot .
Lo'.45Am 11-urci+e, (Non6ins 03- ()nor
7%00 AnA In mai-e- 640n6in5 a+. (icor
Note to all observers: Legibly print and sign your name at the beginning of your shift.
CONFIDENTIAL SDNY_00009580
EFTA00033891