Suicide Watch Chronological Log Inmate Companions Log Name of inmate on watch: Register #: GSLI Institution: Date Watch Began / Ended -1123 19 ONLY ITEMS ALLOWED: To be completed by Chief Psychologist at conclusion of watch: Booklet of Suicide Mattress CONFIDENTIAL SWCL - INMATE SDNY_00009269 EFTA00033775
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: K 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. CONFIDENTIAL SDNY Onnn477n EFTA00033776
Suicide Watch Observation Log N wat ameocfhInmate on 34e,, O Reg #: lci , 5 1E) 054 Date: —1 25) iq Time Observations: Briefly note your observations. Initial all entries. Ini lals : LIO M Set451A+ )6tve4 AO ct4 Ili LE cell ft 1 "ICAni .tx I& o , gea t. ,., j.awl 1 VA ( Go l,e_..1 i k I (t t 2 1+4 1-r- I-15 • edl k -4. —I 4 (6 (I (II 2 " ow km Si C-Fi 4 wl (0? J -ini au ii r.e......4 wk _IAjoe 2'- ' ( . f4i .4 3(.6 cmt Avi cif ge b 3.1 CA 4-a fc.ti eic 114-reJ 3:56 Ci I-A; A 6( 0 ' s is, SIFH ?-93 I 106 - a cit) I 10 WA S 11iv-A- ‘ i 44- shir -6,-( • qr , c.fl‘-,14., Ja la., .4=fi--kit as ui 16 4 n4 W L5 Y4-4-t‘._ti, ,LA-- ("el • ecn kt^- 1 • Sit r Aw' Iti __\ A 414, ei, i 1 froOct/ Note to all observers: Legibly print and sign your name at the beginning of your shift. 1 CONFIDENTIAL SDNY_00009271 EFTA00033777
Suicide Watch Chronological Log Staff Suicide Watch Observers Only Name of inmate on watch: Register #: (31p)-054 Date Watch Began / Ended duly 23,201q — . 0/ C1 To be completed by Chief. Psychologist at conclusion of watch: Booklet of CONFIDENTIAL SWCL - STAFF SDNY_00009272 EFTA00033778
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: du l4 23120%q a+ tAom,A This a continuation log book for this wafdh. Enier date and time this watch book Instructions to Observer: Document your obserVations every 15 minutes. Legibly print and sign your name at the beginning of your shift. CONFIDENTIAL SDNY_00009273 EFTA00033779
Ei)4ein Suicide Watch Observation Log Nam of Inmate on watch: Reg #: -4(.051? ) - n54 Date: 1123 In Time Observations: Briefly note your observations. Initial all entries. Initials 1 4 0 AM Inmck. bro hl- down foSuicicle cell-44 l '.14544 inrnae kiin on bed ZODAm Inman-e 5f-I-1-iol on bed -I-Olking 2'. i 54)4 Inrrok L5ta+e51-1; 5 celirral-e -I-rie(i -i-o v-al h• 2'. 3O I nrnOk. ,5iViins on bftri 4-ti ins +0 rernernbei- Whli- hifirperert 2..45 Atvi inrrale oi4-14(1) (X) bed 3 .0DAm • ' cr) bed 3i15A0 ye-, C4-ure.5 a i nml 3'.30Am pi 1 NW-4e- 61-Airo on bed '.-46Am i ninc)+e 6 i 4- it xp on bed 4-•.0oAm Inrrad-e 5l-H1r on htd 4•, SAM 1 nmnk. Lli-i-i-inc) do hfo 4•3:)Ato nreal-e_ ,..5-1(inJ in3 ai- door +0 lkii9 4.-45AM I rynni-e_ 640r1-1' 04 door 4-ct 4:1(19 5'. 00Arvi I nmcd-e 5i-Hirn on bed 5:154 I 0 L." (--a d o c14- .scar 5.3DAm nmak. 54-nnot no 04 door ,45ANt Int-na-fe c51-ondin9 (14 door •-.ozAtvi I ell e ,3-la • S clu-or co .I5Am Inmoi-e, (5-Ictryiirr\ co- dcor cp.,30A,4 iniyyli-e a4cird\43 0+ day V.-4-5Am I run4e. Olort1ios CH- ()nor -7% 00 A &A in mcii-e- 640rA i n3 a+. GIM' Note to all observers: Legibly print and sign your name at the beginning of your shift. CONFIDENTIAL SDNY_00009274 EFTA00033780