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What The Breakfast Club Teaches Us About Failed Investigations

  • Luke Dam
  • 4 days ago
  • 5 min read


Most incident investigations don’t find the truth.


They find a version of it that’s convenient.


Not because investigators lack tools. Not because organisations don’t care. And not because people are trying to hide the truth.


They fail because we listen to only one version of the story- and mistake that for the truth.


Five People. One System. One Incident.

If you’ve ever seen The Breakfast Club, you’ll remember the five students sitting side by side in detention. At first glance, they appear to be stereotypes- the rebel, the athlete, the outcast, the princess, and the brain.


But as the story unfolds, something more important becomes clear.


They are all operating within the same environment, yet each experiences it completely differently.


That is exactly what happens in every workplace incident.


The Investigation Trap

Consider a familiar scenario.


A worker bypasses a safety control, resulting in a near miss involving mobile equipment. An investigation begins.


Statements are taken, procedures are reviewed, and supervisors are consulted.


Before long, a conclusion forms.


“The worker failed to follow the procedure.”


The investigation feels complete.


But it isn’t.


What we’ve actually done is listen to a single voice in a complex system and treat it as the whole story.


The Voices We Hear- and the Ones We Don’t

Every incident contains multiple perspectives, whether we actively seek them out or not. The problem is that most investigations only capture one or two of them.


The Rebel is usually the most visible. This is the person who bypassed the control or took the shortcut. They are often labelled non-compliant or reckless. But in reality, they are often the closest to how work is actually performed.


They understand where procedures don’t align with reality and where systems force adaptation just to get the job done.


The Athlete represents a different pressure altogether. They are driven, focused on outcomes, and shaped by expectations. In many organisations, they are exactly the type of person we reward. But under pressure, whether it’s production targets, deadlines, or performance metrics, they begin to adapt. Not because they don’t care about safety, but because the system has made it clear what matters most.


Then there is the Outcast, the quiet observer who saw the risk long before the incident occurred. They noticed the drift, sensed something wasn’t right, but chose not to speak up. Not necessarily out of apathy, but often because of culture. Perhaps they didn’t feel safe raising concerns, or maybe they had done so before and nothing changed. Their silence is not a personal failure- it is a system signal.


The Princess brings yet another dimension. They follow the procedure, comply with expectations, and do what the organisation asks of them. Investigations often point to people like this as proof that the system works. But compliance does not always equal effectiveness. A procedure can be followed and still be flawed, impractical, or disconnected from real conditions. What appears to be evidence of a strong system may simply reflect favourable circumstances.


Finally, there is the Brain- the analytical voice that seeks to connect the dots. This is the perspective we often try to apply during an investigation. We map timelines, identify contributing factors, and attempt to understand what went wrong. But analysis without all perspectives is incomplete. If we haven’t captured the experiences of the others, we are building conclusions on partial information.


Incidents Are System Outcomes

One of the most persistent misunderstandings in safety is the belief that incidents have a single root cause.


They don’t.


Incidents emerge from a combination of conditions, pressures, interactions, and human adaptations. What people do in the moment makes sense to them, given the environment they are operating in.


This is the foundation of ICAM.


It shifts the focus away from isolated actions and towards the system that shaped them. It asks not just what happened, but why it made sense at the time, what conditions influenced behaviour, and where defences were absent or ineffective.


When we only focus on the individual, we miss the system entirely.


Why Investigations Stay Shallow

Most investigations don’t fall short because of poor intent. They fall short because of constraints and habits.

There is often pressure to close out investigations quickly. There is a natural tendency to confirm what we already believe. And there is comfort in identifying a clear, simple answer.


It is far easier to conclude that someone failed to follow a procedure than it is to explore why that procedure didn’t work in practice. It is easier to focus on behaviour than to question organisational pressures, leadership decisions, or cultural influences.


But once you begin to explore those areas, the investigation changes.


It becomes less about individuals and more about the organisation itself.


The Risk of a Single Story

When an investigation relies on one dominant perspective, it tends to produce predictable outcomes. The focus shifts to individual error, corrective actions revolve around retraining or reminders, and there is a sense of closure that feels reassuring but is often misplaced.


The underlying conditions remain unchanged.


The system continues to operate in the same way.


And the potential for recurrence remains.


What Strong Investigations Do Differently

A strong investigation doesn’t settle for the first explanation that fits. It actively seeks out multiple perspectives and recognises that each one reveals a different part of the system.


It explores how work is actually performed, not just how it is supposed to be done. It examines the pressures that shape decision-making and the cultural factors that influence whether people speak up. It questions whether procedures are usable under real-world conditions, rather than assuming they are effective simply because they exist.


Most importantly, it connects these elements.


Because the truth of an incident is not found in any one perspective- it emerges from how they interact.


From Investigation to Learning

The purpose of an investigation is not to assign blame. It is to generate learning.


And learning requires a shift in thinking.


It requires moving beyond the idea that fixing individuals will fix outcomes. It requires recognising that behaviour is shaped by context, and that context is created by the organisation.


When we understand that, investigations become far more powerful. They stop being administrative exercises and start becoming tools for meaningful change.


The Question That Changes Everything

There is one question that can transform the way investigations are conducted:

“Which voice am I missing?”


It is a simple question, but it forces a different approach. It challenges assumptions, broadens the scope, and opens the door to deeper understanding.


Because if the story only reflects one perspective, it is incomplete.


The Real Lesson

At the end of The Breakfast Club, the characters realise that they are not as different as they first believed. Each of them has been shaped by expectations, pressures, and the environment around them.


The same is true in every workplace.


People do not operate in isolation. They respond to the systems they are part of.


Closing Thought

Incidents are not the result of bad people making poor decisions in isolation.


They are the result of systems where pressures exist, communication breaks down, procedures don’t align with reality, and people adapt to get the job done.


The role of an investigator is not to simplify that story.


It is to understand it.


And that understanding only comes when we listen to every voice sitting on the bench.


 
 
 

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