s: Legibly print plicl sign your name at the beginning of your shift. 5 EFTA00122772 Suicide Watch Observation Log oNrainvivea;pcfhinmate L 9 5..k. e., n Reg #: -7 6 3 lib — osti Date: 7/p/19 Initials Time Observations: Briefly note your observations. Initial all entries. 05 ° ° Piv) -Ili ,'

ervers: 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 Date: 7/p/19 Initials Time Observations: Briefly note your observations. Initial all entries. 05 ° ° PM) -1-/in GiNeln aq