EFTA00033775.pdf

Type: pdf
Source set: data-set-8
Extracted text

Suicide Watch 
Chronological 
Log 
Inmate Companions Log 
Name of inmate on watch: 
Register #: 
GSLI 
Institution: 
Date Watch Began / Ended 
-1123 19 
ONLY ITEMS ALLOWED: 
To be completed by Chief Psychologist at conclusion of watch: 
Booklet 
of 
Suicide Mattress 
CONFIDENTIAL 
SWCL - INMATE 
SDNY_00009269 
EFTA00033775


STAPLE LOCAL PROCEDURES HERE 
Check one of the following: 
K 
This is the initial log book for this suicide watch. 
Enter date and time watch began: 
K 
This is a continuation log book for this watch. 
Enter date and time this watch book was initiated: 
Instructions to Observer: 
Document your observations every  
 minutes. 
Legibly print and sign your name at the beginning of your shift. 
CONFIDENTIAL 
SDNY Onnn477n 
EFTA00033776


Suicide Watch Observation Log 
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on 
 
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Reg #: lci , 5 1E) 054 
Date: —1 25) iq 
Time 
Observations: Briefly note your observations. Initial all entries. 
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Note to all observers: Legibly print and sign your name at the beginning of your shift. 
1 
CONFIDENTIAL 
SDNY_00009271 
EFTA00033777


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 
CONFIDENTIAL 
SWCL - STAFF 
SDNY_00009272 
EFTA00033778


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