Pegg 1569.

Suicide Watch
Chronological
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5 Institution: “1 :

Daté Watch Begani/ Ended ce

July 232010 =July 29, Aq

To be completed by Chief Psychologist at conbion of watch:

. Booklet _ of ___

swoL-smF
Page 1570

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 23,2000 ‘at 40am : ?

0 This a continuation log book for this watch; oy

‘Enter date and time this watch bookwas niffated:

2 Instructions to Observer: Tea

. Document your observations every 5 minutes.

Legibly print and sign your name at the beginning of your shitt.
ee reer7031p Onase 1231
Fao Tomoie.brook downfoSuicideCo
2.00am] Inmate oii on bedtalikioa |

245m|lomale Siting onbed |

3.0m [Inmate sisi onbed |
35a [LE] dies pictues ofinmate |
B46aq |Inoate Sittig onbed |
4.0m[Inte
Sivtigonbed |
48am |Ingale
Sidicqon bed |
4.45m4 |lnoote Stadion,at doortaliag |
5.0mm |Inmate Siting onbed 7 |
5.6am |Inmate Sandizgatdoor |
5.30av[Inmate Sandi atdoor |
5.45mi |Inmate. standing atdoor ©|
p.00nu[lompte Standingabdoor |
©15am|Inemate. Shandichardoor |
©.30ma [leat Slardid)Ghdor |
~oau|lnoate Stordind atdoor |
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