EFTA00134965.pdf

Suicide Watch Chronological Log Inmate Companions Log Name of inmate on watch: er3 :Le'YN ONLY ITEMS ALLOWED: In C2 ra= Register #: CO Suicide Mattress c-514/1 ch u Institution: O W ro E U a) a) fa av 5 Date Watch Began / Ended 'z5 CO n (241 tiS cr To be completed by Chief Psychologist at conclusion of watch: Booklet of SONY piti t ra C7 6466 A tA)00055 I EFTA00134965 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: ❑ 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. SDNY_00006467 EFFA_00000552 EFTA00134966  Suicide Watch Observation Log Name of Inmate f ,4 I, on watch: ( f 5 e (1 Reg #: 1 4 5(<5 054 Date: 1 25 Time Observations: Briefly note your observations. Initial all entries. :14°1%1V ' JM &elk )(mi le •G S- til 1Yr &G eel 1 4 j l 'IC Asit ,tt lily 0 geo a 2 Alvt k AI --) i k fr o. 2,a - im I-A i 11, s ( eft k ) l el 4 Kph 2 5 bem f im S; irh A ty j Ail 047 h rtetmea tA 4-- in t/ 0 2 ' 45ibta ( ow i3t i3 5.'0,0 t VA c I I11P11 6., 6f . b IC '7 4 A),- sih - 4 fos 12 1 %c tart :,160,40 ci Pho A Pmts ----- 1i4/ R i -.) QkM w S t y, o.n if C->‘. -44 7 ,t .b 50 ItkA -k- kilt 4- ma .sir , s 6-4_14 ,,,i `goit 4-1C-,,,, c_ awl rt_4i ...----7 lj L5 LS" _kir c--f- bcei tc"414, w 4ifiA i • 4— 6 cov Sttr liA" ivl k ...\ vio e— N 6V Je 4 Note to all observers: Legibly print and sign your name at the beginning of your shift. 1 SDNY_00006468 EFFA_00000553 EFTA00134967  Suicide Watch Chronological Log Staff Suicide Watch Observers Only Name of inmate on watch: Register #: Institution: MCC. WAN ACIIK Date Watch Began / Ended 31A1 23,2014 ‘1, bi To be completed by Chief Psychologist at conclusion of watch: Booklet of 69 llli sc'tSYci ; 1 A66000554 EFTA00134968 STAPLE LOCAL PROCEDURES HERE Check one of the following: V This is the initial log book for this suicide watch. Enter date and time watch began: July 2312olci at 1.4oAM O This a continuation log book for this watch. Enter date and time this watch book was initiated: Instructions to Observer: Document your observations every I yJ minutes. Legibly print and sign your name at the beginning of your shift. SDNY_00006470 EFTA 00000555 EFTA00134969  E.47.54e.in Suicide Watch Observation Log Nam of Inmate on watch: Reg #: -4(..D 3 lb - ()52.t Date: -.) 23 ici Time Observations: Briefly note your observations. Initial all entries. Initials VA0Am Inry6e. bin N- clown to c`)ui(,i(ie Ce1144 H45A4 Inry) fe Ilin on hed ZUDAN4 InrnCii-e c_ i-1-1-irn on bed +(Ming 2.. I5Awi I nmoce LNai-e31-)i-, C.elirock. -I-K eA +0 Kil IT I 2 ..,30/44 [nrra4e 3; 44-ins Dr) tiff\ fry ir).9 +o rernernbet- vgi-ni- h(iKtred 2..145 Atvi Inmate Oi 4449 on Led 3'.(DAM Inmalt_. OH-4-4.1 cr) bed 3:15 A to Li-. Ar-6eocn -1-Ove, picAure5 o f ryrn 5..3oAA.4 Inrrai-e. c5i+kir13 on bed 3'.-46ki Inmal-e.. 6 1. 4-i-if-n on b 42. ODAM Inmak. O;+-h09 on 1-rd 4.. 15Am Int-nai-e. L i4.-1-, n, on bed 4..30Am Inral4e. Ord i n9 a+- dcor +016-9 4.-45Am I mill-e_ (54Orrii CA- cl00r 1-C111(4)9 5'. 00Am nrna 4-e si++irn on bed 5.i5Anq Inmale. c54anii;r9 al door 5 .30Am 1nmni-e. 341-1r411nc) 04 door 5A-5Am Innufe. ,,_4-nry-iino 61- do0t, Lo*.DONA I nrniCi-ie ,3 -10rdiri a4- cluor- C9'. LsAm [ nmO1-e- 64:Indic° (.4- ClOW Cf.)".,30Awi Iry-v-14e- 6-1(Ariltro 6+ door 10'.45m4 Incrai-e_ L)larcling a1- riner 4 '. 00 Ann in ry)C14-€- O4Ondin9 Cli- CICOr Note to all observers: Legibly print and sign your name at the beginning of your shift. 1 SDNY_00006471 EFTA_00000556 EFTA00134970