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Suicide Watch
Chronological
Log
Inmate Companions Log
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Name of inmate on watch:
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Register #:
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To be completed by Chief Psychologist at conclusion of watch:
Booklet l of
SWCL - INMATE
EFTA00122765
P RO CEDURES HERE
STAP LE L OC A L
following:
Check one of the
ide watch.
log book for this suic
❑ This is the initial
e watch began:
Enter date and tim
th is watch.
tion log book for
This is a continua
initiated:
time this watch book was
Enter date and
bserver:
Instructions to O
Document your ob
servations ever y 5 minutes.
ift.
name at the be ginning of your sh
Legibly print and sign your
EFTA00122766
PP37 Page 1 of
NYMBJ 531.01 * INMATE HISTORY 07-24-2019
PAGE 001 OF 001 * MED DY ST 12:32:30
REG NO..: 176318-054 NAME ' EPSTEIN, JEFFREY EDWARD
CATEGORY: FEW FUNCTION: pW FORMAT:
FCL ASSIGNMENT DESCRIPTION START DATE/TIME STOP DATE/TIME
NYM NOT MED CL NOT MEDICALLY CLEARED 07-06-2019 2124 CURRENT .
NYM SUIC WATCH SUICIDE WATCH 07-23-2019 0140 07-24-2019 0845
G0005 TRANSACTION SUCCESSFULLY COMPLETED - CONTINUE PROCESSING IF DESIRED
•
https://bop.tcp.doj.gov:9049/SENTRY/J1PP160.do 7/24/2019
EFTA00122767
Suicide 11Ciatch Observation Log
Name of Inmate
en watch • rato Reg It: geogn; frOntgae: 7/2 V /t
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.
EFTA00122768
Suicide Watch Observation Log
Name of Inmate ilxsz _
on watch: An, Hog #: leigi g —05-9- Date:07. z.-3 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.
2
EFTA00122769
Suicide Watch Observation Log
Name of Inmate
on watch: cp.
C-12.5 — 7414
/ "7 Reg #: 1 &3K-15 -29- Date: 7 .23 .il
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
EFTA00122770
Suicide Watch Observation Log
Name of Inmate j
on watch: 4eri t7 Reg #:-7 b g -- (r<CDate: 7. 2.3'•) I
Time Observations: Briefly note your observations. Initial all entries. Initials
/ :15-1/1, 77,074-41 -4/2.. k kt-in-14 )no fil 7/ .."--
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Note to all observers: Legibly print and sign your name at the beginning of your shift.
4
EFTA00122771
Suicide Watch Observation Log
•
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Time Observations: Briefly note your observations. Initial all entries. initials
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Note to all observers: Legibly print plicl sign your name at the beginning of your shift.
5
EFTA00122772
Suicide Watch Observation Log
o
Nrainvivea;pcfhinmate L 9 5..k.. e., n Reg #: -7 6 3 lib — osti Date: 7/p/19
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.
6
EFTA00122773
Suicide Watch Observation Log
o
tne atocft,I:nmate Ec,5(en Reg #: -7b3 Vic" 05 4 Date: 7/0.1/9
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.
7
EFTA00122774
ℹ️ Document Details
SHA-256
c099ba65c0cc82fdfada3fe3ed0e25ea3401e25d8864b26ef97f7e3ae435a0de
Bates Number
EFTA00122765
Dataset
DataSet-9
Document Type
document
Pages
10
Comments 0