Suicide Watch
Chronological
Log
Inmate Companions Log
Name of inmate on watch:
c
C
ONLY ITEMS ALLOWED:
Register #:
Suicide Mattress
Institution:
to c
o
Date Watch Began / Ended ai Q.
a no
0 CO
—1123 19 a. 6,) f— (
To be completed by Chief Psychologist at conclusion of
watch:
Booklet of
SWCL - INMATE
CONFIDENTIAL SDNY_00009695
EFTA00033958
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 OnnnciRQS
EFTA00033959
Suicide Watch Observation Log
Name of Inmate E I nt _
on watch: t Yle
. '( ' Reg #: —}CeStr, C6 Date: -1 23 1 lq
Time Observations: Briefly note your observations. Initial all entries. Initials
ADi
I : 14° ; 1M Se‘t51,1+ oc., AO c t4 it I. 14. Cc? f / 114 A .—
1 .L'ICAVA /41I OA 11 i I& l i 0ki ge6 ...---- 0
2 4,A It l it
4, 11.,e —I i
k (lei --... . ---
2 s iciiiv, ,
µ+ 5 c edln,-k f..1 16)•rs (cili
2 5 6,,,4,, 1,A4 S; c-fmc an c)?_..) -{rti tul h vs.?v...4,4 L4/—
wk A 4- tlAppriA c9
2'. 'AL (I a4 i .ial on/ 3 6 P
`",m4 k vA S it i .., lie b eitt
i --
3.' CIA (" 7 .4 Air-it. 2 4-a k./.5 et c h.iii 6 9 1 R„ eg ,
3:56a,.. , . cit-A;„* a. 6( 0
IP" kisu ca- v on a
t < ‘ii.*-1Cil)o•\ lieb 4.13-Th
c.6-.u.A,,, -)Ai14,„ ..i_k.„) i
.1 ° ;If; \ SIA-PrIV-Us ; 44— thfir ---1-4--( kiv el
Sir k lfrl
as 0fr---
writ 17 S; 41M ici4 (e) -- 7
L5 cy" k 0.4 -Y114-1N-L e 4-"E beef
t"
7grftt^- a4 J ,h leefr- cat"
•
....
(ficokr. tfm 3 4-1.4.iii) 6-----4 Oct/
a
-Q
r.
--
Note to all observers: Legibly print and sign your name at the beginning of your shift.
1
CONFIDENTIAL SDNY_00009697
EFTA00033960
Suicide Watch
Chronological
Log
Staff Suicide Watch
Observers Only
• Regieter
Mop, tiew`levlc
Date'Wetch Began,/ Ended
July 23,2014 — ' c)/ e3
To be completed by Chief. Psychologist at conclusion of watch:
Booklet of
SWCL - STAFF
CONFIDENTIAL SDNY_00009698
EFTA00033961
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+ ('ADAM
This a continuation log book for this watch.
'Enter date and time this watch book waelnitiattid:
Instructions to Observer:
Document your obserVations every 15 minutes.
Legibly print and sign your name at the beginning of your shift.
CONFIDENTIAL SDNY_00009699
EFTA00033962
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 5f-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- ha per
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_00009700
EFTA00033963