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Suicide Watch
Chronological
Log
Inmate Companions Log
Name of inmate on watch:
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To be completed by Chief Psychologist at conclusion of watch:
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SWCL - INMATE
EFTA00140505
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 of
NYMBJ
531.01 *
PAGE 001 OF 001 *
INMATE HISTORY
07-24-2019
MED DY ST
12:32:30
REG NO..:
NAME
' EPSTEIN, JEFFREY EDWARD
CATEGORY: FEW
FUNCTION: pW
FORMAT:
FCL
NYM
07-06-2019 2124 CURRENT
.
NYM
07-23-2019 0140 07-24-2019 0845
G0005
•
https://bop.tcp.doj.gov:9049/SENTRY/J1PP160.do
7/24/2019
EFTA00140507
Suicide cri4ch Observation Log
Name of Inmate on Welch:
•
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Reg II:
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Time
Observations: Briefly note your observations. Initial all entries.
Initials
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Note to all observers: Legibly print and sign your name at the beginning of your shift.
EFTA00140508
Suicide Watch Observation Log
Name of Inmate on watch:
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Reg II:
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.
2
EFTA00140509
(
Suicide Watch Observation Log
Name of Inmate cp.
"7
Reg #:
C-12.5 — 741/4
Time
Observations: Briefly note your observations. Initial all entries.
Initials
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Note to all observers: Legibly print and sign your name at the beginning of your shift.
3
EFTA00140510
Suicide Watch Observation Log
Name of Inmate on watch:
1
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Reg #:
rate: 7•23••) I
Time
Observations: Briefly note your observations. Initial all entries.
Initials
1 'I /Spill k it/n-14
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Note to all observers: Legibly print and sign your name at the beginning of your shift.
4
EFTA00140511
Suicide Watch Observation Log
Name of Inmate on Watch: ••
C4351E1 4
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9
Time
Observations: Briefly note your observations. Initial all entries.
Initials
1 Ctits1
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Note to all observers: Legibly print atm/ sign your name at the beginning of your shift.
5
EFTA00140512
Suicide Watch Observation Log oNnamweatocfhlnmate
95..k..e., n
Reg #: IIIIIIIMIN
Initials
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.
6
EFTA00140513
Suicide Watch Observation Log
Name of Inmate r Li on watch:
Reg rt:
Time
.cc ) ,7Tek•il
Observations: Briefly note your observations. Initial all entries.
Initials
O6 .5OClm -5\e'l ge.\f,),\ ave,,c5 4,,,, 6e, se,,ort,, 0,4_ 4,us
-time-, bre/AV-Co-5+ t-,c45 &cr. Je...cl, ‘9J+
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Note to all observers: Legibly print and sign your name at the beginning of your shift.
7
EFTA00140514