Cases5 cases

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1. IL-0092 Upgrading ingress-nginx from 1.12.0 to 1.14.3 brought a newer ModSecurity and OWASP Core Rule Set whose false positives blocked HMPPS Auth, so users could not sign in to their applications

   UK Ministry of Justice2026

   Symptoms

   At 08:56 on 30 March 2026, about an hour and three quarters after the rollout of a new ingress-nginx to production began, the MoJ Cloud Platform team noticed messages in the #hmpps-auth-audit-registers Slack channel about ModSecurity unexpectedly blocking requests. Users in HMPPS also raised incidents with the MoJ service desk.

   High error rateService outage

   Trigger

   The Cloud Platform team began deploying ingress-nginx 1.14.3, on images maintained by Chainguard, to the three production ingresses at 07:11 on 30 March 2026.

   Root cause

   Breaking change in an upgrade

   Component

   Ingress controllerWeb application firewall rules

   Contributing factor

   Unrepresentative staging

   Detection

   At 08:56 the Cloud Platform team saw messages in the #hmpps-auth-audit-registers Slack channel showing ModSecurity blocking requests unexpectedly; HMPPS users also raised incidents with the MoJ service desk.

   Remediation

   • rolled the ingress-nginx deployment back to the previous version, from 09:14 to 09:43
   • HMPPS applied ModSecurity rule exclusions for the rules blocking traffic to HMPPS Auth
   • added a temporary global exclusion for the CRS rule triggered by the PostHog cookie
   • redeployed ingress-nginx 1.14.3 with both exclusions in place, completed at 14:00

   Action items

   • Rescope the PostHog cookie so it is no longer sent with requests to all *.justice.gov.uk services
   • Remove the temporary global exclusion once the PostHog cookie has expired from enough users' browsers
   • Remind service teams to run dev and test workloads through the non-production ingress controllers so future ModSecurity and CRS updates are tested
   • Run production and non-production workloads in separate clusters in Cloud Platform 3.0, so non-production workloads must use the non-production ingress

   Lessons

   An ingress controller upgrade that bundles a web application firewall also changes which requests are allowed, not only how they are routed. A beta or non-production ingress only catches false positives for traffic that actually passes through it, and teams that keep their test workloads on the production ingress miss them. A fix on the client side, such as rescoping a cookie, takes effect only when old cookies have expired in users' browsers, so the rule change has to wait for it or ship with an exclusion.

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2. IL-0120 A daily scheduled OS update restarted systemd-networkd on cloud-hosted GPU nodes, which conflicted with OpenAI's networking agent and removed all routes, cutting capacity for ChatGPT and the API

   OpenAI2025

   Symptoms

   At 11:36 PM PDT on 9 June, alerts fired across multiple OpenAI services as a large number of cloud-hosted GPU nodes lost network connectivity, and the engineering team was escalated to immediately. Losing those nodes cut the capacity available to serve ChatGPT and the API.

   High error rateGPU unavailable

   Trigger

   A routine daily scheduled update of the host operating system on the cloud-hosted GPU servers restarted systemd-networkd on the affected nodes.

   Root cause

   Breaking change in an upgrade

   Component

   systemd-networkdNode operating system image

   Contributing factor

   No staged rolloutLimited debug access

   Detection

   Alerts fired immediately across multiple services when the infrastructure began losing network connectivity at 11:36 PM PDT, and the engineering team was escalated to at once.

   Remediation

   • re-imaged the affected GPU virtual machines
   • deployed recovery automation to restart the remaining impacted nodes
   • halted the background update mechanisms on the GPU VMs

   Action items

   • Disable automatic daily updates on GPU VMs so updates run in a controlled, scheduled way
   • Update system configurations to prevent conflicts between systemd-networkd and the networking service
   • Audit VM configurations across the fleet to find and reduce similar risks
   • Improve recovery speed for critical infrastructure such as GPU VMs and clusters
   • Run regular disaster recovery drills

   Lessons

   An unattended operating system update that restarts systemd-networkd can wipe the routes another networking agent manages, and it hits every node that takes the update at about the same time. Without break-glass tooling to restore connectivity, nodes that lost their network had to be re-imaged, which stretched recovery over many hours.

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3. IL-0201 A framework upgrade caused kernel panics in GitHub's Kubernetes infrastructure, and GitHub.com web and API requests, mostly for issues and pull requests, failed intermittently for about 16 hours

   GitHub2025

   Symptoms

   From 18:05 UTC on March 17, 2025, GitHub.com web and API requests failed now and then for a small percentage of users, mostly requests about issues and pull requests. At 18:39 UTC the status page reported degraded performance for Issues.

   High error rateIntermittent timeouts

   Trigger

   A framework upgrade rolled out to GitHub's Kubernetes infrastructure caused kernel panics.

   Root cause

   Breaking change in an upgrade

   Component

   Linux kernel

   Contributing factor

   –

   Detection

   The status page opened the incident at 18:39 UTC, 34 minutes after the failures began, as an investigation of reports of degraded performance for Issues.

   Remediation

   • Downgraded the framework upgrade that caused the kernel panics
   • Disabled the problematic feature of the framework

   Action items

   • Investigate why the upgrade caused the kernel panics
   • Take steps to temporarily prevent the problem from coming back
   • Work out longer-term patch plans
   • Improve observability so that similar classes of problems can be reacted to quickly

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4. IL-0117 A scheduled maintenance and an ingress upgrade on OpenAI's user-facing clusters caused a networking control plane regression that briefly broke the data plane, and the services that restarted then overwhelmed a backend persistence store with a heavy first-start query

   OpenAI2024

   Symptoms

   On August 16, 2024 from 11:38 AM to 1:16 PM PT, the OpenAI primary API was unreliable: ChatGPT conversations succeeded less often, and logging in and creating accounts were affected. The status page called it elevated error rates for ChatGPT and the Platform API. The incident came in two waves, of 44 and 15 minutes.

   High error rateDatabase overload

   Trigger

   A scheduled maintenance combined with an upgrade to the ingress of OpenAI's user-facing clusters.

   Root cause

   Breaking change in an upgrade

   Component

   Ingress controllerApplication database

   Contributing factor

   No staged rolloutAutomation amplification

   Action items

   • Mitigate the networking control plane regression and validate that control plane restarts do not interfere with the clusters' data plane
   • Change service software to start faster and remove the first-start query, relieving the persistence layer
   • Deploy configuration changes that optimise the networking control plane's effect on the clusters' ability to handle traffic
   • Remove the expensive database query from critical startup paths
   • Add monitoring and alerting for networking control plane issues
   • Introduce staged rollouts with longer soak time for infrastructure changes
   • Audit systems for other slow queries that may affect service start time

   Lessons

   A brief connectivity loss turned into a long outage because recovery itself was expensive: the services that restarted overwhelmed one backend persistence store with a heavy first-start query. Keeping costly queries off startup paths shortens recovery, and staged rollouts with longer soak time limit how many systems an infrastructure regression reaches before it is caught.

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5. IL-0060 Kubernetes 1.24 upgrade removed the master node label that Calico route reflectors selected on, dropping all pod routes and taking Reddit down for 314 minutes

   Reddit2023

   Symptoms

   About two minutes after an engineer started the Kubernetes 1.23 to 1.24 upgrade of the cluster running Reddit's legacy stack, just after 19:00 UTC, the site stopped. The CDN edge request graph, which is kept separate from the cluster, showed traffic by status collapsing. Users saw the error page, a homepage with no posts, or plain errors.

   Service outageHigh error rateDNS resolution failuresMonitoring outagePods stuck in ContainerCreatingControl plane lag

   Trigger

   An in-place upgrade of the legacy cluster from Kubernetes 1.23 to 1.24; in 1.24 the node-role.kubernetes.io/master label is removed even from running clusters.

   Root cause

   Breaking change in an upgrade

   Component

   CalicoKubernetes API serverAdmission webhooketcd

   Contributing factor

   Configuration not in codeUnrepresentative stagingUntested backupMonitoring blind spotSingle point of failure

   Detection

   The site broke about two minutes into the upgrade; an incident was opened immediately and responders were on the call within three minutes, working from CDN edge graphs because the cluster's own metrics were gone.

   Remediation

   • deleted the Open Policy Agent webhook configurations to stop API server timeouts
   • terminated all worker nodes of the cluster
   • restored the control plane from the pre-upgrade backup onto the first control plane node
   • switched off the cluster autoscaler until the control plane was stable
   • generated new TLS certificates so replacement control plane nodes could join etcd
   • brought traffic back in steps from 1% to 100%
   • restarted legacy services that had been stopped by hand

   Action items

   • Codify cluster configuration so every choice has a record, and document in detail what cannot be codified
   • Standardise components across clusters and replace bespoke configurations
   • Build tooling to manage the lifecycle of whole clusters so they can be recreated or replicated
   • Add pre-production clusters that can be tested with confidence
   • Improve the backup restore process and make cluster upgrades safe

   Lessons

   Configuration that exists only in a live cluster, edited by hand through a special tool, can be forgotten, as the route reflector setup was, and then break on an upgrade nobody connects it to. A Kubernetes upgrade cannot be reverted without a restore, so the restore procedure has to be kept current and practised. Consistent, codified clusters are what make upgrades testable; bespoke clusters keep producing outages.

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