THE HSWAGATA BUDDHA TOOTH RELIC PRESERVATION MUSEUM
FOR INTERNAL USE ONLY
Template No.: T148
Template Title: Ethical Boundary Breach Report (Visions / Messages)
Related Research Case IDs / Cluster: Cluster B – Non-Human Guardians & Vocation (Cases 11–20)
Linked Templates / Policies: T128 (Non-Human Guardian Dream / Sign Log), T132 (Spiritual Emergency / Disturbance Log), T135 (Guardianship Ethics Pledge), T136 (Wellbeing & Burnout Check-In), Institutional Ethics & Safeguarding Policy
Date of form: ____ / ____ / ______
Prepared by / Role: _________________________________
Office / Unit: _______________________________________
Country / Location: _________________________________
Confidentiality Level:
Internal only [ ] Restricted [ ] Sacred-Restricted / Sensitive [ ]
Use of this form (tick):
New case / action [ ] Follow-up [ ] Annual review [ ] Archive only [ ]
SECTION 1 – PURPOSE OF THIS REPORT
This form is used to record any ethical boundary breach where:
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“Visions”, “messages”, “dreams”, “signs”, or “guardians”
are used to gain power, money, control, or special status, or -
People feel pressured, afraid, or misused because of such claims.
Examples include (but are not limited to):
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Saying “Guardians told me you must give money / gifts / favours.”
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Claiming “Only I have messages from guardians, so you must obey me.”
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Using visions to shame, threaten, or isolate a person.
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Using “messages” to break HSWAGATA policies or law.
Please write in calm, neutral words. This form is for protection, not for revenge.
SECTION 2 – BASIC INCIDENT INFORMATION
2.1 Date, time, and place
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Date of main incident: ____ / ____ / ______
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Time (if known): __________________________
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Site (temple / museum complex): ______________________
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Building / room / online space: ______________________
2.2 Type of setting
[ ] Shrine / relic area
[ ] Meeting room / office
[ ] Teaching / talk / class
[ ] Private talk (one-to-one)
[ ] Group setting (small group)
[ ] Public event
[ ] Online (message, call, social media)
[ ] Other: __________________________________________
SECTION 3 – PEOPLE INVOLVED
3.1 Person alleged to have misused “visions / messages”
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Full name (if known): _______________________________
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Dharma / monastic name (if any): ____________________
Status (tick):
[ ] Bhikkhu / Monk [ ] Bhikkhunī / Nun
[ ] Novice [ ] Lay male
[ ] Lay female [ ] Other: ______________________
Role in HSWAGATA or linked institution (tick all that apply):
[ ] Core Relic Custodian
[ ] Assistant Custodian
[ ] Trainee Custodian
[ ] Teacher / preacher / guide
[ ] Staff / volunteer
[ ] Visitor / outsider (not staff)
[ ] Other: __________________________________________
3.2 Person(s) affected / impacted
You may use initials instead of full names if needed.
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Name / code: _______________________ Role: ______________
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Name / code: _______________________ Role: ______________
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Name / code: _______________________ Role: ______________
3.3 Person making this report
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Name: _______________________________________________
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Role: _______________________________________________
I am (tick):
[ ] Directly affected
[ ] Witness
[ ] Supervisor / leader
[ ] Other: __________________________________________
SECTION 4 – DESCRIPTION OF ETHICAL BOUNDARY BREACH
Use simple, neutral words. Do not add extra drama.
4.1 Short summary (3–8 lines)
What happened?
4.2 Type of misuse (tick all that apply)
Use of visions / messages for:
Money / gifts / material gain
[ ] Asking for money or gifts “because guardians said so”
[ ] Special fees for blessing / miracles promised by visions
[ ] Promising wealth or success if people pay or donate
Power and control
[ ] Saying “Guardians chose only me, so you must obey.”
[ ] Using visions to give orders outside normal policy
[ ] Using messages to control people’s life choices
(marriage, work, moving, etc.)
Status and fame
[ ] Claiming very high spiritual status from visions
[ ] Using miracles stories to gain admiration or followers
Fear and harm
[ ] Threatening that guardians / spirits will punish someone
[ ] Saying misfortune is a curse for not obeying them
[ ] Shaming someone using claimed messages
Other misuse
[ ] Breaking law / policy while saying “guardians told me”
[ ] Other: __________________________________________
4.3 What words were used?
If possible, write exact words or short phrases reported (in local language if needed):
SECTION 5 – IMPACT & HARM
5.1 Impact on individuals
What effect did this have on the person(s) affected? (tick all that apply)
Emotional
[ ] Fear / anxiety
[ ] Shame / guilt
[ ] Confusion about Dhamma and faith
[ ] Feeling small, weak, or controlled
[ ] Loss of trust in monks / staff / HSWAGATA
Practical
[ ] Gave money or gifts they did not want to give
[ ] Changed life decisions due to pressure
[ ] Avoided shrine / practice due to fear
[ ] Left group / community
Other
[ ] Health impact (stress, sleep problems, etc.)
[ ] Other: __________________________________________
Short description of impact (2–6 lines, no blame words):
5.2 Impact on HSWAGATA or wider community
Did this harm:
[ ] Trust in relic guardianship
[ ] Harmony in the team / community
[ ] Respect for HSWAGATA policies
[ ] Public reputation
[ ] Other: __________________________________________
Short note:
SECTION 6 – EARLY RESPONSE & ACTION TAKEN SO FAR
6.1 Immediate response
What has already been done (tick all that apply):
[ ] Calm listening to person affected
[ ] Asked alleged person to stop certain behaviour
[ ] Informed mentor / teacher
[ ] Informed supervisor / Siridantamahāpālaka
[ ] Suggested counselling (T142)
[ ] Suggested wellbeing check (T136)
[ ] Suggested spiritual emergency support (T132)
[ ] No action yet
[ ] Other: __________________________________________
Short description of actions so far (2–5 lines):
6.2 Has the behaviour stopped?
[ ] Yes, seems to have stopped
[ ] No, it continues
[ ] Not sure
Short note:
SECTION 7 – ETHICAL AND POLICY QUESTIONS
7.1 Possible policy breaches (tick)
[ ] T135 – Guardianship Ethics Pledge (non-greed, non-abuse)
[ ] Use of guardians / visions to gain money or power
[ ] Breaking rules on donations and financial transparency
[ ] Misuse of role (teacher, custodian, staff) for control
[ ] Harmful spiritual teaching (fear-based, against Dhamma)
[ ] Breach of safeguarding / duty of care policy
[ ] Other: __________________________________________
7.2 Level of concern (reporter’s view)
[ ] Mild – needs correction and teaching
[ ] Moderate – repeating pattern, needs formal response
[ ] Serious – clear harm or high risk of harm
[ ] Very serious – may need removal from duty / legal advice
Short explanation:
SECTION 8 – REQUESTED / RECOMMENDED NEXT STEPS
What do you think should happen now? (This is a suggestion; final decision is by the proper body.)
8.1 For the person affected
[ ] Offer spiritual counselling (T142)
[ ] Offer wellbeing / burnout check (T136)
[ ] Offer mentoring or support group
[ ] Offer apology / restoration if they wish
[ ] No further step requested
[ ] Other: __________________________________________
8.2 For the person alleged to have misused visions
[ ] Speak privately to correct behaviour
[ ] Formal warning
[ ] Extra ethics / Dhamma training
[ ] Temporary removal from relic or teaching duties
[ ] Review by ethics committee / Board
[ ] Other: __________________________________________
8.3 For policy and training
[ ] Clarify teaching on visions and guardians in training
[ ] Repeat ethics pledge (T135) teaching
[ ] Add or change written policy
[ ] Group reflection on safe guardianship
[ ] Other: __________________________________________
Short note on your main recommendation (2–4 lines):
SECTION 9 – ATTACHMENTS & LINKED FORMS
Tick any linked records:
[ ] T128 – Non-Human Guardian Dream / Sign Log (related case)
[ ] T132 – Spiritual Emergency / Disturbance Log
[ ] T135 – Guardianship Ethics Pledge (for person involved)
[ ] T136 – Wellbeing & Burnout Check-In
[ ] T138 – Spiritual Guardianship Case Reflection Sheet
[ ] T139 – Guardian Story & Miracle Archive Form
[ ] Other incident or HR file (code: ___________________)
SECTION 10 – SIGN-OFF & REVIEW
10.1 Person making this report
I confirm that I have written this report honestly, in simple and neutral language, to support ethical guardianship and safety.
Name (print): ________________________________________
Signature: ___________________________
Date: ____ / ____ / ______
10.2 Initial reviewer (supervisor / ethics officer)
Name: _______________________________________________
Role: _______________________________________________
Date received: ____ / ____ / ______
Initial response (tick):
[ ] Information only – note in file
[ ] Further information needed
[ ] Start informal resolution / correction
[ ] Refer to ethics committee / Board
[ ] Refer to HR / legal advisor
[ ] Other: __________________________________________
Short comment:
Signature: ___________________________
10.3 Final outcome (to be filled later)
Summary of decision and actions taken (2–8 lines):
Date case closed / reviewed: ____ / ____ / ______
SECTION 11 – ARCHIVING
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Physical file code / folder: _________________________
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Digital archive path / ID: __________________________
Access level:
[ ] Strictly limited (ethics / safeguarding only)
[ ] Restricted (senior leadership)
[ ] Internal reference (anonymised for training)
Notes on anonymisation for training use (if any):
