# Suicide Watch
Chronological
Log

Inmate Companions Log

Name of inmate on watch:
Epstem
Register #:
7/23/19 Date Watch Began / Ended Institution: ONLY ITEMS ALLOWED: Sack Meal Suicide Smock/Slippers Suicide Sleeping Bag Suicide Mattress Paper Cup deos Tampons or

To be completed by Chief Psychologist at conclusion of watch:
Booklet of

EFTA00036382

SWCL INMATE

Cnam Sanitary Rolt/Nankin

# 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.

EFTA00036383

# STAPLE LOCAL PROCEDURES HERE (cont.)

<table><tr><th>Name of Inmate
on watch:</th><th></th><th>Epstein Reg #: Date:</th><th>23 9</th></tr><tr><td>Time</td><td colspan="2">Observations: Briefly note your observations. Initial all entries.</td><td>Initials</td></tr><tr><td>1:40, Am</td><td></td><td>m Brought Dawn to Suicide cell #4</td><td></td></tr><tr><td>1:45AM/1/111 1:45₁</td><td></td><td>laying ON BEIS</td><td></td></tr><tr><td>св
2 AM</td><td></td><td>1/m Silling On Bed talking</td><td rowspan="22"></td></tr><tr><td>21154m</td><td>'</td><td>M States his cellmate tried to kill</td></tr><tr><td></td><td></td><td>'him</td></tr><tr><td>2 ·30. m</td><td></td><td>Sitting on beJ trying to remember</td></tr><tr><td></td><td></td><td>What Happen</td></tr><tr><td>2:45 Ли</td><td></td><td>1/m Sifting Вед</td></tr><tr><td>3.0 mm</td><td>"</td><td>M Sitting on Вед</td></tr><tr><td>3.15 AM</td><td></td><td>takes pictures of 1/m</td></tr><tr><td>330</td><td></td><td>m Sithing un BED</td></tr><tr><td>3.45</td><td></td><td>M Sitting on BeJ</td></tr><tr><td>4:06
Am</td><td></td><td>Im Sitting on 3+1</td></tr><tr><td>4i7</td><td></td><td>m Sitting a B+D</td></tr><tr><td>4:30</td><td></td><td>I'm Standing of talking</td></tr><tr><td>41:45</td><td></td><td>་MM I'm Standing of t door falking</td></tr><tr><td>5 km</td><td>Ym</td><td>Sitting on Bed އ</td></tr><tr><td>5DAM</td><td>1</td><td>M Starling &amp; Deer</td></tr><tr><td>530 Am</td><td></td><td>M Standing wit Dar</td></tr><tr><td>545 Ат</td><td>་</td><td>ш JAR Jm * par</td></tr><tr><td></td><td></td><td>м Standing at Dary</td></tr><tr><td></td><td></td><td></td></tr><tr><td></td><td></td><td></td></tr><tr><td></td><td></td><td></td></tr><tr><td></td><td></td><td></td><td></td></tr></table>

# STAPLE LOCAL PROCEDURES HERE (cont.)

Note to all observers: Legibly print and sign your name at the beginning of your shift.

1

EFTA00036384

# Suicide Watch
Chronological
Log

Staff Suicide Watch
Observers Only

Name of inmate on watch:

Epstein, J.

Register #:

Institution:

MCC New York.

Date Watch Began / Ended

July 23,2019 - July 24, 2019

To be completed by Chief Psychologist at conclusion of watch:

Booklet of

SWCL-STAFF

EFTA00036385

# 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:

July 23, 2019 at 1:40AM

This a continuation log book for this watch.

Enter date and time this watch book was initiated:

Instructions to Observer:

Document your observations every 15

minutes.

Legibly print and sign your name at the beginning of your shift.

EFTA00036386

# STAPLE LOCAL PROCEDURES HERE (cont.)

<table><tr><th>Epstein
Name of Inmate
on watch:</th><th>Reg #: Date:</th><th>7/23/19</th></tr><tr><td>Time</td><td>Observations: Briefly note your observations. Initial all entries.</td><td>Initials</td></tr><tr><td>1:40AM</td><td>Inmate brought down to Suicide cell#4</td><td></td></tr><tr><td>1:45AM</td><td>Inmate lying on bed</td><td></td></tr><tr><td>2:00AM</td><td>Inmate Sitting on bed talking</td><td rowspan="22"></td></tr><tr><td>2:15AM</td><td>Inmate States his cellmate tried to kill him</td></tr><tr><td>2:30AM</td><td>Inmate Sitting on bed trying to remember</td></tr><tr><td></td><td>what happened</td></tr><tr><td>2:45 AM</td><td>Inmate Sitting on bed</td></tr><tr><td>3:00AM</td><td>Inmate sitting on bed</td></tr><tr><td>3.15AM</td><td>takes pictures of inmate</td></tr><tr><td>3:30AM</td><td>Inmate Sitting on bed.</td></tr><tr><td>3:45AM</td><td>Inmate Sitting on bed</td></tr><tr><td>4:00AM</td><td>Inmate Sitting on bed.</td></tr><tr><td>4:15AM</td><td>Inmate Sitting on bed</td></tr><tr><td>4:30AM</td><td>Inmate Standing at door talking</td></tr><tr><td>4:45AM</td><td>Inmate Standing at door talking</td></tr><tr><td>5:00AM</td><td>Inmate Sitting on bed</td></tr><tr><td>5:15AM</td><td>Inmate Standing at door</td></tr><tr><td>5:30AM</td><td>Inmate Standing at door</td></tr><tr><td>5:45AM</td><td>Inmate Standing at door</td></tr><tr><td>6:00AM</td><td>Inmate Standing at door</td></tr><tr><td>6:15AM</td><td>Inmate Standing at door</td></tr><tr><td>6:30AM</td><td>Inmate standing at door</td></tr><tr><td>6:45AM</td><td>Inmate Standing at door</td></tr><tr><td>7:00AM</td><td>Inmate Standing at door</td></tr><tr><td></td><td></td><td></td></tr></table>

# STAPLE LOCAL PROCEDURES HERE (cont.)

Note to all observers: Legibly print and sign your name at the beginning of your shift.

1

EFTA00036387