Cases6 cases

1 to 5 of 6

1. IL-0192 A Crossplane composition merge-policy change for a TLS policy update switched Kubernetes Services from LoadBalancer to ClusterIP and deleted the load balancers behind about 25% of Grafana Cloud services

   Grafana Labs2025

   Symptoms

   At 08:41 UTC on 18 February 2025, several Grafana Labs application teams noticed that some of their endpoints were no longer available. The investigation quickly found that the load balancers for those endpoints were gone.

   Service outageResources deleted

   Trigger

   A change to the merge policy of a Crossplane composition, made so that the default TLS policy of the load balancers could be overridden, was applied to development, staging and production at the same time.

   Root cause

   Configuration change

   Component

   Configuration templatingCloud load balancer

   Contributing factor

   Unverified assumptionNo staged rolloutExcessive blast radiusNo safeguard on destructive change

   Detection

   Application teams noticed at 08:41 UTC that some of their endpoints were no longer available.

   Remediation

   • rolled back the Crossplane composition change
   • recreated the affected Kubernetes Services so that Kubernetes recreated their load balancers

   Action items

   • Add a CI check that blocks a deployment to more than one wave, so any exception to the dev, staging, canary, production order is caught
   • Give higher priority to a more sophisticated wave design that was already under discussion
   • Enable deletion protection on the load balancers, one layer below Crossplane
   • Enable deletion protection on other critical cloud provider resources
   • Develop the Crossplane Managed Resources exporter for change validation and visibility, now in beta testing within Platform engineering; simulated against the change that caused this outage, it shows a clear diff
   • Complete and test support for reconfiguring the TLS policy so application teams can deploy it

   Lessons

   A change that looked small and low-risk had a side effect that only a full end-to-end test through Crossplane and the cloud provider's load balancer controller would have shown; seeing the intended override work was not that test. Staged rollout and blast-radius limits that exist only as process can be skipped, so Grafana Labs moved to enforce waves in CI and to add deletion protection on the load balancers themselves, beneath the Crossplane layer.

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2. IL-0177 WebSocket connections to LINE's messaging-hub on Kubernetes dropped all at once whenever another service's change reloaded a shared HAProxy L7 load balancer, and the reconnect wave overloaded a token API and filled nf_conntrack on Nginx

   LINE+2022

   Symptoms

   The graph of WebSocket connections to messaging-hub, the messaging platform used by the Japanese food delivery service Demaecan, showed sudden deep drops even outside peak traffic. The drops kept coming back at irregular intervals. Messages still reached clients, because messaging-hub switches to Firebase Cloud Messaging when a WebSocket is gone.

   Connection resetsDatabase overloadIntermittent connection failuresHigh latency

   Trigger

   Another service that shared the same L7 load balancer deployed its own load balancer configuration in the Verda dashboard, which reloaded HAProxy; 30 minutes later, at the hard-stop-after limit, the old HAProxy process exited and closed every WebSocket connection it still held.

   Root cause

   Configuration change

   Component

   HAProxyCloud load balancerconntrack tableIngress controller

   Contributing factor

   Change with a delayed effectExcessive blast radiusRetry stormUnverified assumption

   Detection

   The developer noticed deep, sudden drops in the WebSocket connection graph that were not tied to peak traffic and kept recurring irregularly. The Nginx packet drops were found through network monitoring.

   Remediation

   • separated the Merchant system's token issuance API into its own deployment so reconnect traffic did not delay other Merchant APIs
   • scaled out Nginx with pod anti-affinity and a label selector so each pod ran on a different node, which stopped the nf_conntrack packet drops
   • raised Ingress Nginx proxy-read-timeout and proxy-send-timeout and the load balancer timeout to 3600s, which did not stop the drops
   • moved messaging-hub from the shared L7 load balancer to an L4 load balancer, which ended the WebSocket drops

   Lessons

   A reload of a shared load balancer by a different team can cut long-lived connections, and with hard-stop-after the cut comes 30 minutes later, far from the change that caused it. The author's lesson is not to narrow the scope of the search too early: trusting that the infrastructure was fine kept the investigation inside the team's own systems for days. A reconnect wave from many WebSocket clients can overload the systems that issue connection tokens and fill nf_conntrack on proxy nodes. Scaling Nginx out only helps for conntrack if the pods land on different nodes, and anti-affinity leaves extra replicas Pending once they outnumber the nodes. That messaging-hub problems can still load the connected systems remains an open problem.

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3. IL-0208 A GitLab chart bump that renamed Kubernetes Service and Deployment ports made the GCP load balancer reconfigure, and GitLab.com slowed down and returned intermittent 50x errors

   GitLab2022

   Symptoms

   At 07:53 UTC on 2022-03-31 the rate of 50x errors on GitLab.com went up, and at 07:54 PagerDuty paged the engineer on call (EOC) about the rising error rate. Users saw slow pages and intermittent 50x error pages. The incident lists the Web, API, Git and Pages services as affected.

   High error rateHigh latencyIntermittent timeouts

   Trigger

   A k8s-workloads/gitlab-com pipeline deployed merge request !1643, a GitLab chart bump that changed the port names of Kubernetes Services and Deployments (related to the Prometheus service and pod monitors), starting with the canary environment gprd-cny at 07:49 UTC.

   Root cause

   Configuration change

   Component

   HelmCloud load balancerHAProxy

   Contributing factor

   Automation amplification

   Detection

   A PagerDuty alert on the rising error rate paged the EOC at 07:54 UTC, one minute after the 50x errors went up. The engineer deploying the change noticed the errors and linked them to it.

   Remediation

   • drained the canary environment and re-enabled it after twenty minutes
   • cancelled the deployment jobs for clusters c and d before they started
   • drained gprd-us-east1-d in HAProxy and re-enabled it five minutes later
   • raised the minimum replica count above 100 (merge request !1650)
   • drained gprd-us-east1-c in HAProxy, deployed the change to it, and re-enabled it
   • reverted the minimum replica increase (merge request !1652)

   Action items

   • Implement graceful draining of a whole regional cluster
   • Create a Chatops command that puts PagerDuty into maintenance mode

   Lessons

   Renaming ports on Kubernetes Services and Deployments behind a GCP load balancer made the load balancer reconfigure, and requests were slow or timed out until the new configuration had fully applied, which took minutes. GitLab notes that alerting worked well. The follow-up work is a way to drain a whole regional cluster gracefully and a Chatops command to put PagerDuty into maintenance mode.

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4. IL-0111 Switching the main Kubernetes ingress controller from Traefik v1 to v2 stopped X-Forwarded headers being passed, which broke the Okta login flow for every service using Okta and stopped DFDS online bookings for over an hour

   DFDS2021

   Symptoms

   After the switch to Traefik v2, functional tests indicated that everything was fine, and this was reported on Slack at 08:44 UTC. The first sign of trouble came at 09:26 UTC, when a developer reported a high count of HTTP 307 redirects, especially on the Okta service. At 09:32 UTC the team learned that the online booking system was down.

   Service outage

   Trigger

   At 08:22 UTC the AWS load balancers were updated to send requests to the new Traefik v2 reverse proxy as part of the migration away from Traefik v1.

   Root cause

   Configuration change

   Component

   Ingress controllerCloud load balancer

   Contributing factor

   Missed in reviewMonitoring blind spot

   Detection

   A developer reported a high count of HTTP 307 redirects, in particular on the Okta service, at 09:26 UTC, 64 minutes after the change; six minutes later the team was told the online booking system was down. The functional tests run after the switch had not caught it.

   Remediation

   • Rolled back the switch to Traefik v2, putting rollback ahead of investigation because of how critical the booking system is

   Action items

   • Consider how critical announcements can be made more visible
   • Consider whether the ALBs used for testing should have been shared with the teams so they could test their own scenarios

   Lessons

   Cloud Engineering cannot test every application scenario on its own, even after testing its own applications for weeks. A header that changes value behind a new ingress controller, here x-forwarded-proto going from https to http, can break an authentication flow while basic functional tests still pass. DFDS asks whether diffing request headers before and after the migration would have shown the problem in advance.

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5. IL-0105 Replacing the AWS VPC CNI during a Terraform refactoring detached the ALB target groups, and every service in the Kubernetes cluster returned 503

   DFDS2021

   Symptoms

   At 08:29 UTC on 22 June 2021 alerts fired because all services in the Kubernetes cluster were returning 503. No inbound traffic was reaching the cluster. A customer reported the problem at 08:32.

   Service outageHigh error rate

   Trigger

   The pipeline replaced the AWS VPC CNI as part of a refactoring that moved EKS add-ons from kubectl to native Terraform management.

   Root cause

   Configuration change

   Component

   AWS VPC CNICloud load balancerTerraform

   Contributing factor

   Unverified assumptionNo configuration tests

   Detection

   Alerts fired at 08:29 UTC, eight minutes after the VPC CNI was replaced; a customer reported the issue at 08:32.

   Remediation

   • committed a fix that reverted the infrastructure-modules reference
   • re-triggered the pipeline after it failed on an AWS API timeout
   • let the pipeline reattach the target groups to the ALB

   Action items

   • Revert the ALB de-registration delay to the default of 300 seconds
   • Update the roll-over script to set the ALB de-registration delay to zero temporarily before a roll-over
   • Create an ingress test suite

   Lessons

   The change to the de-registration delay had been weighed mainly for performance. Critical pipeline runs should be watched while they run. Everyone should receive the alerts and react to them, and alert messages that were unclear should be reworded.

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