Incident Library
  • Root cause
  • Component
  • Symptom
  • Contributing factor
  • Case

Cases2 cases

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  1. Symptoms

    On 25 March 2026 from about 16:40, public sector organisations on the PSBA network across Wales lost connectivity at their sites. The Service Desk saw about 400 alerts at 16:58, when a Major Incident was declared, about 1,500 at 17:05 and about 5,000 across Wales at 17:08, while councils, a fire and rescue service and Natural Resources Wales phoned in to report sites down.

    Trigger

    At 16:30 a route map change was applied, outside formal change control, on a PSBA core Provider Edge (PE) router to leak MPLS VPN routes, so that legacy Capita-operated UPS devices in a /16 subnet could be managed by BT/PSBA. The change was removed at 16:40.

    Root cause
    Component
    Contributing factor
    Detection

    At 16:57 Mid Wales Fire & Rescue Service phoned in a loss of connectivity at its Presteigne site, and at 16:58 a case was opened in Service Now for a group of about 400 alerts and a Major Incident was declared.

    Remediation
    • Removed the route map change from the PE router at 16:40
    • Changed QoS on the BGP to bring back the management links, after which alarms cleared
    • Cleared routes and reset inbound BGP advertisements, which did not stop the default route being advertised
    • Corrected the configuration issue affecting the internet learned route at 01:02
    • Performed a controlled reload of the affected router at 01:10, which restored customer services and management connectivity
    Action items
    • Reinforce change control requirements with an internal briefing on formal change submission, the risks of unplanned changes and roles during planned and emergency changes
    • Create a dedicated Microsoft Teams channel as the single real-time communication point for all live P1 and Major Incidents
    • Explore disaster recovery and business continuity test exercises for major or P1 incidents
    • During loss of management access, have all technical teams assess customer impact from what reporting organisations provide, captured and shared in real time by the Service Desk and Incident Management
    • Investigate a fixed link between Capital Quarter and the PSBA management racks in Vantage Data Centre at Newport, with dedicated management terminals and two-factor authentication for access outside the secure management platform
    • Improve initial triage with stronger probing questions when incidents are reported and keep reassessing and communicating impact throughout the incident
    • Review the P1 and Major Incident process so escalation criteria and timeframes are clearly defined, and train the Service Desk to recognise and escalate them early
    • Review the PSBA estate for legacy configuration, set processes and timeframes for removing it and add controls so it is not introduced again
    • Review email and SMS distribution lists and processes and reinforce Service Desk training on customer communications during P1 and Major Incidents
    Lessons

    The report names eight lessons: a change was made outside PSBA change control; internal communication during the Major Incident was slow and fragmented; the organisation was not ready for a network-wide incident; losing management access stopped the resolver groups from seeing the network state and customer impact; the resolver groups did not understand customer impact in enough detail, which delayed finding the root cause; escalation to PSBA management was slow; legacy configuration left in the network contributed; and email and SMS communications did not reach some customers in time.

  2. Symptoms

    On 16 July 2020 between 13:26 and 13:48 UTC, DNS queries to two nodes of Gandi's LiveDNS platform failed with a timeout, and retries against the other name servers of a domain failed as well. The status page reported impact for FR customers.

    Trigger

    A software bug in Gandi's DNS server software triggered a fault and stopped the server on two LiveDNS nodes.

    Root cause
    Component
    Contributing factor
    Detection

    Monitoring alerts fired on the DNS servers, but they were first read as false positives among the noise from an earlier internal network incident.

    Action items
    • Fix the way a node is disabled when its DNS server is not working correctly
    • Fix the node configuration and add monitoring so that no node announces several clusters
    • Rework monitoring and internal training and organisation
    • Deploy the fix for the bug in the DNS server software
Check your cluster for this

These 2 cases involve BGP routing and Authoritative DNS servers and records. kubegap audits a Kubernetes cluster for gaps like these, read-only, from Claude Code or Codex; its checks cite public reports like the ones in this library.

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