Cases13 cases

6 to 10 of 13

1. IL-0109 A retried node rollover on a DFDS EKS cluster set the Auto Scaling group back to 15 instances, and the default termination policy removed every healthy worker node, leaving the cluster with no nodes

   DFDS2023sev1

   Symptoms

   At 09:33 UTC on 14 February 2023 end users told the platform team that Kubernetes logs were not arriving in CloudWatch as expected. The investigation went through fluentd and found that the nodes were running containerd as their container runtime instead of docker-shim. A scheduled node rollover the day before, at 07:30 UTC on 13 February, had set containerd as the default runtime by accident.

   Service outageResources deletedMonitoring outage

   Trigger

   A scheduled node rollover had accidentally made containerd the default container runtime, which stopped log shipping to CloudWatch; the unscheduled rollover to revert it timed out, and the pipeline run that followed reduced the Auto Scaling group from 30 to 15 instances.

   Root cause

   Configuration change

   Component

   Container runtimeNode launch templateNode poolTerraformTelemetry agent

   Contributing factor

   Automation amplificationUnreviewed defaultsUnrepresentative stagingNo configuration testsNo runbookHarmful manual action

   Detection

   End users reported the missing CloudWatch logs that started the work. The postmortem lists 2 minutes as the time to detection of the node failure.

   Remediation

   • ran the node rollover script to add new nodes, which failed on a timeout from Docker Hub
   • ran the node rollover script a second time, which added new nodes that the load balancer marked healthy at 11:01 UTC

   Action items

   • Document the rollover process, especially what can be done when it goes wrong
   • Investigate options for improving the rollover process
   • Add fluentd log collection to the QA test suite so logs are covered end to end
   • Add alarms for fluentd when too little or no log data is sent
   • Implement a staging environment
   • Implement guards against selecting an invalid container runtime

   Lessons

   When a change goes wrong, rolling back to a known working configuration is safer than rushing a fix, which can make the damage worse. Launching new worker nodes depends on the cloud-init script not failing in any way. The QA configuration differed from production, there was no staging environment, the QA tests did not cover fluentd log collection, and the rollover process had no documentation for when it fails.

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2. IL-0207 A routine task run from an engineer's local environment switched to production and deleted GitLab.com's Consul release, so Patroni lost Consul and GitLab.com returned 5xx errors to all traffic

   GitLab2022

   Symptoms

   GitLab's monitoring and alerting fired at once. One of the alerts reported a Patroni failover, and users of GitLab.com received 5XX errors; the CDN counted about 13 million requests answered with 503 during the outage.

   Service outageHigh error rateResources deleted

   Trigger

   An engineer ran a routine task with GitLab's tools in a local development environment; during a local deploy or rollback operation the tool's context changed from local development to production, and the change was applied to production.

   Root cause

   Operator error

   Component

   Application database

   Contributing factor

   No safeguard on destructive change

   Detection

   GitLab's monitoring and alerting fired immediately; one of the alerts reported a Patroni failover.

   Remediation

   • re-applied the Consul release to the production Kubernetes cluster, with manual steps because the tooling did not support the redeploy directly

   Action items

   • Improve the Kubernetes deployment process to reduce the risk of running harmful deployment operations against production from local environments (https://gitlab.com/gitlab-com/gl-infra/reliability/-/issues/16875)
   • Integrate Teleport with the Kubernetes clusters, which could give SREs a read-only role by default (https://gitlab.com/gitlab-com/gl-infra/reliability/-/issues/16221)

   Lessons

   A tool that can switch its target from a local environment to production during a deploy or rollback turns routine local work into a production change. GitLab plans to improve its Kubernetes deployment process so that harmful deployment operations are less likely to be run against production from local environments, and to integrate Teleport with its clusters, which could give SREs a read-only role by default. Detection and diagnosis were fast because the alerts led straight from Patroni to its dependency, Consul. Bringing the deleted release back needed manual work, because the tooling did not make the redeploy straightforward, but it was still done relatively quickly.

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3. IL-0009 A duplicated generated name made Argo CD replace the InfluxDB Cloud production Application and delete the whole production environment

   InfluxData2022

   Symptoms

   Right after a pull request to the infrastructure-as-code repository was merged, every API endpoint of one InfluxDB Cloud production cluster began returning 404 errors. Writes and reads failed alike: no one could collect data, scheduled tasks failed to run and external queries did not work.

   Service outageResources deletedHigh error rate

   Trigger

   A merged pull request whose rendered YAML added a new Argo CD Application and AppProject that an automation error had named app01-cluster01, the name of the existing production Application, instead of app02-cluster01; reviewers did not notice the app01 and app02 difference.

   Root cause

   Configuration change

   Component

   Argo CDPersistent volumes and stateful setsConfiguration templating

   Contributing factor

   Missed in reviewNo runbookNo safeguard on destructive changeMonitoring blind spotAutomation amplification

   Detection

   Monitoring and alerting did not detect the issue right away, so the team's first response was to try to roll the change back rather than plan a recovery. The write-up does not say how the team found out.

   Remediation

   • stopped the revert of the merged pull request
   • restored the etcd metadata cluster
   • recreated the missing Kubernetes objects so the retained PersistentVolumes became available, then recreated the StatefulSets
   • restored the Zookeeper volumes from an hourly Velero backup
   • rebuilt the Kafka StatefulSet one pod at a time with health and readiness checks disabled
   • accepted writes into the Kafka write-ahead log and scaled up the write path with more replicas and higher memory requests and limits
   • recreated the storage pods, which downloaded data from object storage, reindexed it and replayed the write-ahead log
   • re-enabled Argo CD, queries, dashboards and scheduled tasks, restored replica counts and ran final QA checks

   Action items

   • Write runbooks for restoring state when Kubernetes objects such as PersistentVolumeClaims are deleted but the data on the underlying volumes is preserved
   • Set every volume in every environment to retain data when its PersistentVolumeClaim is deleted
   • Improve the process for handling public-facing incidents
   • Store generated YAML as one object per file, so an overwrite of an existing object shows up as such in review
   • Detect duplicate objects when generating YAML and warn before review, treating objects with the same group, namespace and name as the same even when the apiVersion string differs
   • Add the Argo CD Prune=false annotation to all stateful resources and to Namespace objects managed by Argo CD
   • Set FailOnSharedResource=true on Argo CD Applications so Argo CD fails before changing an object another Application manages or managed

   Lessons

   The biggest gap was that monitoring did not notice the deletion quickly, which pushed the team toward a reflex rollback; in a stateful system a revert can create a new, empty instance instead of bringing the old one back. Retained volumes and clients that retry writes are what kept data loss at zero. Rendering many objects into one file let an overwrite of an existing object look like an addition, so generated configuration needs one object per file and duplicate detection that compares objects the way Kubernetes does. Stateful resources need protection from pruning, and that protection must cover their Namespace too, or deleting the namespace removes everything inside it.

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4. IL-0132 A faulty resource cleanup process marked Vertex AI prediction endpoints as deleted worldwide, undeploying customers' models and failing predictions for 4 hours 20 minutes

   Google Cloud2022

   Symptoms

   From 10:10 US/Pacific on 2 June 2022, Vertex AI Online Prediction returned errors for 30% up to 100% of requests per region, depending on how each customer used the service.

   High error rateResources deletedService outage

   Trigger

   A faulty resource cleanup process marked Vertex Prediction Endpoints as deleted, globally.

   Root cause

   Software defect

   Component

   Model request routing

   Contributing factor

   Automation amplificationExcessive blast radius

   Detection

   The first public status update was posted at 13:58 US/Pacific and gave the start as 10:20 US/Pacific; the later mini incident report gives 10:10.

   Remediation

   • restored the Vertex Prediction Endpoints that had been marked as deleted

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5. IL-0010 A templating change that dropped its {{ }} delimiters made Argo CD delete all 478 Skyscanner services in every region

   Skyscanner2021

   Symptoms

   On 25 August 2021, skyscanner.net was unavailable and the Skyscanner mobile apps could not work, for travellers and business partners everywhere at the same time. The full global outage lasted four and a half hours.

   Service outageResources deleted

   Trigger

   A peer-reviewed change to a rarely changed root-level file of the cells templating configuration, intended as a no-op, that left out the {{ }} delimiters; it was submitted around 15:30 GMT, merged to master and rolled out automatically to every region at once.

   Root cause

   Configuration change

   Component

   Argo CDConfiguration templating

   Contributing factor

   Missed in reviewNo staged rolloutNo configuration testsUntested backupAutomation amplificationExcessive blast radius

   Remediation

   • restored the correct configuration for each cluster and let Argo CD reconcile the cluster back to it
   • restored services through the backup and restoration process
   • brought one region back first with the critical services and served all traffic from it from around 20:30 GMT
   • restored and verified the remaining regions and non-critical services over Thursday and Friday

   Action items

   • Avoid global configuration deploys, including rare change paths like this one
   • Treat templated configuration as code and add testing and linting
   • Plan and wargame more drastic failure scenarios in runbooks
   • Verify backup and restore processes, including access to the backups and the loss of a region
   • Refactor runbooks so they are clear and, where appropriate, idempotent for a stressed engineer in the early morning
   • Reconsider how much configuration is templated across regions, weighing configuration drift against automated global rollout

   Lessons

   Global configuration changes had been prevented in many cases, but not in this rarely used path. Configuration that gains templating and logic has become code and needs tests and at least linting. The failure scenarios and runbooks were not pessimistic enough, a backup only counts once it has been restored, and runbooks need care so they work for a stressed engineer at night. Automation that templates configuration across regions trades drift for the risk of rolling one mistake out everywhere. An experienced incident commander who kept the response calm and blameless made a large difference.

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