Suicide Watch

Suicide Watch Chronological Log Inmate Companions Log Name of inmate on watch: G- Le:2; in 45 ! lit Register #: 9 {Z) V) V) O. /6 .3 IS .615‘11- a '''...V ri) 42 aj O o O (4 O c +a Institution: E rc to - Li) et. &.. in6 C iLl ("1 CC - C.) Z CU C.) (I) L) C7- Date Watch Began / Ended ---1 0 Z • .-.) 7.3 ft f e.e. ?,7,io".7 - oi.i 2t-tr2n;5 (4 v) (r) 0.. (,) To be completed by Chief Psychologist at conclusion of watch: Booklet l of co co E "_O u_ 48 O • v) C 1_ O cl) tiA • r6 SWCL - INMATE EFTA00110492 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: 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 5 minutes. Legibly print and sign your name at the beginning of your shift. EFTA00110493 PP37 Page 1 of NYM