Suicide Watch Chronological Log Inmate Companions Log © Name of inmate on watch: = .. wv c Epsiew Siem oO 6 Zz Ss $8 = Register #: 2 a eo) = 2 q Were 3 Bows z =a x= 5 F (oe omar) ¢ Institution: 4 ov % 5+ =-£ 2 ao 4's wi SHRHReE Ss ¢ w oO & E S vo wo oY SeTBSSGal$ Date Watch Began/Ended 73 SBBSawE Fad 5S 5357 OG ¢ 1/23 }'4 ORAAAGAKY To be completed by Chief Psychologist at conclusion of watch: Booklet of SWCL - INMATE CONFIDENTIAL SoNY_00000605. EFTA00033958

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STAPLE LOCAL PROCEDURES HERE Check one of the following: o This is the initial log book for this suicide watch. Enter date and time watch began: ia) 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_00009696 EFTA00033959

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Suicide Watch Observation Log await EBSCO Regt: 14515. 5 | _time | __ observations: Briefly note your observations. initial allentries. | initia _| == ue Ym Frcaa vt Deer o Surci&e cet cof MS, — jive 8 an Cul! 4c 4 Tene Th. le Te matt 12d r(f aA __ bb | lm iMag om be) ured — What Happen ——_—— 4) wu i (hs 36 — rv * wa _| Tom i Hytq em Bed ——— 2 Sun 7 Andes takes pictues cf ilu |B Mme | fm Gi hing on EO AS Sted Ses fn [Ye Sey en Be pet a SS Note to all observers: Legibly print and sign your name at the beginning of your shift. SDNY_00009697 CONFIDENTIAL EFTA00033960

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Suicide Watch ono! hOG:.! Staff Suicide Watch « “Observers Only. — . zs ‘Register | | Moaecosd | “Institution: Pa Bias! Date’ Watch Began | Ended . uly 23,2014 = July 2 24, oq To be completed by Chief Psychologist at conclusion of watch: _ Booklet of SWCL - STAFF CONFIDENTIAL SDNY_00009698 EFTA00033961

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STAPLE LOCAL PROCEDURES HERE Check one of the following: aw: * This is the initial log book for this suicide watch... Enter date and time watch began: Suly 23,2010 a} 40am O° Thisa continuation log book for this watch. aw Enter date and time this watch book was initiated: ope ee Heh a % \ Instructions to Observer: “3 Document your observations every AG minutes. Legibly print and sign your name at the beginning of your shift. CON F | DENTIAL SDNY_00009699 EFTA00033962

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COSsIeIN Suicide Watch Observation Log Observations: Briefly note your observations. Initial all entries. iN thy “inmate londing at dane RY Re ee Note to all observers: Legibly print and sign your name at the beginning of your shift. CONFIDENTIAL SDNY_00009700 EFTA00033963