Suicide Watch

Suicide Watch Chronological Log Inmate Companions Log Name of inmate on watch: 4Vd-le-; Leij 45 u) a .0._ Register #: 0. o rrt -ht • • +' 44 0,, . 2 mi 0 0 0 C ▪ Lel 0- Institution: E ec al --- (I) iLl `n CC Cu SI ini6 C F- Q) C1 CI) L ) -° L. Co W ta• Date Watch Began / Ended ..J>- 73-.° 0 i.5 '5 r, ,z iT f ee, 0,0/.7 - lui.i2,-1,2() .5 (4 v) lf) a (1) To be completed by Chief Psychologist at conclusion of watch: Booklet l of co co E • CO " 0 -0 u_ 48 ° O v) C L 0 cl) tiA • r6 SWCL - INMATE EFTA00140505 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. EFTA00140506 PP37 Page 1