For Guardians, Stewards, or Facilitators to complete within 12 hours of an event incident.


Purpose

To record any situation that disrupted safety, consent, or wellbeing during a Tribal Loves activity.

This form protects both members and the organization by creating an objective, time-stamped record under the PMB duty-of-care framework.

Reports are confidential and visible only to the Ethics Steward Council and Producer Custodian.


A · Basic Information

Field Example / Instruction
Report ID INCIDENT-YEAR-MONTHDAY (e.g., INC-2025-0103)
Date of Incident yyyy-mm-dd
Time of Incident 24-hr format
Location / Zone e.g., Sensual Studio, Lounge A
Event Name “The Art of Wild Consent – Nosara 2025”
Reporting Person Full name + role (Guardian 🛡️ / Facilitator 🌿 / Participant)
Others Present (Initials only) J.D., A.M.
Steward Assigned Name / Role
Report Filed By Digital signature or Notion login record

B · Incident Description

Objective Narrative (3–5 sentences)

Describe exactly what was observed or reported - no opinions, just facts.

Include sequence of events, language used, and immediate context.

Example:

“At 22:35 in Sensual Studio, participant J.D. initiated hand contact with A.M.’s shoulder after verbal no. Guardian intervened and paused interaction.”


C · Immediate Response