Cases5 cases

1 to 5 of 5

1. IL-0179 With DEBUG logging and synchronous log output, a high-traffic service filled the 64 KB stdout pipe, so request threads blocked in write() while holding database connections and HikariCP ran dry, failing requests in 30-second bursts

   MUSINSA2026

   Symptoms

   The on-call engineer for a high-traffic service was alerted that requests were failing in large batches every 30 seconds.

   High error rateIntermittent timeoutsConnection pool exhaustion

   Trigger

   DEBUG level logging was on in production when traffic surged, raising log volume to about 100 times normal while the service logged synchronously.

   Root cause

   Configuration change

   Component

   Application logging libraryContainer runtimeTelemetry agentApplication database

   Contributing factor

   Unverified assumptionExcessive blast radius

   Detection

   The on-call engineer was alerted that requests were failing in large batches every 30 seconds.

   Action items

   • Replace synchronous logging with TraceAwareAsyncAppender, which captures trace_id and span_id on the calling thread and drops logs instead of blocking when the queue is full (neverBlock=true)
   • Keep the amount of log output at a sustainable level, since an asynchronous queue still fills under sustained overload

   Lessons

   Removing AsyncAppender to keep trace IDs also removed the protection that kept request threads away from stdout back-pressure. A company-wide standard applies the same side effect to dozens of services, so check what a standard rests on and what working behaviour it takes away. ThreadLocal context does not cross into an asynchronous worker, but capturing it on the calling thread before handing the event off keeps both the IDs and the asynchronous output. Under extreme load, dropping log lines is preferable to stopping request handling.

   View case
2. IL-0110 A Grafana Agent pod's high memory use and crash-looping Hangfire pods drove a Kubernetes node into system OOM and NotReady, twice in one day

   DFDS2024

   Symptoms

   At 10:01 UTC on 2024-03-13 a Kubernetes node entered NotReady state, with CPU requests at 78% and memory requests at 82%. An alert fired in Slack at 10:03 and was picked up at 10:05. An attempt to SSH into the node at 10:13 failed because it was unresponsive; it started responding again at 10:19.

   Node NotReadyContainer crash loopOOMKilledMonitoring outage

   Trigger

   Pods of a dev container that used Hangfire to trigger jobs failed with OOM and crash-looped on a node where a Grafana Agent pod was already using a lot of memory.

   Root cause

   Capacity exhaustion

   Component

   Telemetry agentContainer memory limitApplication database

   Contributing factor

   Excessive blast radiusNo resource requests or limitsHarmful manual actionMonitoring blind spot

   Detection

   A Slack alert fired two minutes after the node went NotReady and was picked up two minutes later; the second node's NotReady at 15:03 also raised a Slack alert.

   Remediation

   • marked the EC2 instance unhealthy so a new node started
   • cordoned and force-drained the NotReady node and terminated its EC2 instance
   • removed the new LimitRange from the Grafana Agent namespace and restarted the Grafana Agent pod
   • scaled the dev container to 0 replicas, after which EC2 network traffic returned to normal
   • after the second NotReady, scaled the dev container to 0 replicas again and added a new node
   • emailed the team that owns the dev container, which confirmed it was working on a fix

   Action items

   • Move grafana-agent to the monitoring node group
   • Add alerts for when bandwidth across the cluster reaches a certain threshold
   • Investigate whether memory limits can be set on the grafana-agent Helm chart
   • Investigate grafana-agent memory usage
   • Ask Grafana support whether grafana-agent should use a PVC
   • Consider pushing node logs to Loki with limited retention
   • Create a wiki page with common metrics and log queries to check when investigating issues with Kubernetes nodes

   Lessons

   Dev workloads mixed with production let one crash-looping dev container take down nodes that production also used, and a monitoring agent outside its dedicated node group added to the memory pressure. Scaling the suspect container back up before its owners had fixed it brought the failure back on the replacement node. The team also noted that action items from earlier post-mortems need follow-up, and that knowledge of useful CloudWatch metrics had not been shared, which made the diagnosis harder.

   View case
3. IL-0145 A power sag and chiller failure in one Australia East availability zone took down the AKS control plane's compute and its non-zone-redundant SQL Database operation queue, blocking AKS create, update and delete operations in Australia East and Australia Southeast

   Microsoft Azure2023

   Symptoms

   From about 10:30 UTC on 30 August 2023, customers had trouble accessing or using Azure, Microsoft 365 and Power Platform services in Australia East. The affected Azure services included Azure Kubernetes Service (AKS) along with storage, SQL Database, Cosmos DB, virtual machines and Azure Resource Manager.

   Control plane unresponsiveHigh error rateService outage

   Trigger

   At 08:41 UTC a lightning strike on electrical infrastructure about 18 miles away caused a utility voltage sag that shut down the cooling chillers of datacenters in one Australia East availability zone; 13 chillers failed to restart automatically and five could not be restarted, so two data halls overheated and their infrastructure was shut down.

   Root cause

   Cloud provider outage

   Component

   AKS control planeApplication database

   Contributing factor

   Single point of failureExcessive blast radius

   Detection

   Cosmos DB impact was detected by monitoring at 10:47 UTC, first automated communications went to Azure Service Health at 10:48 UTC, the public Azure Status page was updated at 11:30 UTC, and all subscriptions in Australia East were sent portal communications at 11:36 UTC.

   Remediation

   • shut down the remaining networking, compute and storage in the two affected data halls so the chilled water loop could cool down
   • restarted the five chillers manually at 12:12 UTC
   • restored power to all hardware by 15:10 UTC and brought infrastructure back in phases
   • restored AKS operations through the recovery of the SQL Database operation queue, with no other mitigation

   Action items

   • AKS: convert all operation queue SQL Database databases to be zone redundant (estimated September 2023)
   • AKS: replace all cross-region SQL Database queue usage with zone-redundant Service Bus queues (estimated September 2023)
   • Change the control timing logic of the Chiller Management System so chillers do not fail to restart after voltage fluctuations
   • Change the emergency procedure for manual restarts of simultaneous chiller failures from an adjacent sequence to a load-based sequence per data hall
   • Increase technician staffing at the datacenter as a temporary measure for manual chiller restarts
   • Storage: optimise the large-scale recovery process and update troubleshooting guides (estimated December 2023)
   • Azure Service Fabric: improve reliability of SQL Database tenant ring recovery (estimated December 2023)
   • SQL Database: review the trigger criteria of auto-failover groups (estimated October 2023)
   • SQL Database: upgrade internal tooling to enable mass migration of databases (estimated December 2023)
   • Cosmos DB: optimise Service Managed Failover for single-region-write accounts (estimated November 2023)
   • ARM: complete the migration of its storage layer to the zonally redundant architecture (estimated December 2023)
   • Incident management: harden readiness, process and playbook for power-down scenarios (estimated October 2023)

   Lessons

   A control plane spread across availability zones still fails with a zone when one of its dependencies, here the SQL Database operation queue, is not zone redundant. When a second region uses the same database, the failure crosses into that region as well. Workloads already running were not expected to be affected; what stopped was everything that needs the managed service's control plane, such as scaling and cluster changes.

   View case
4. IL-0172 An AWS Tokyo data centre cooling failure took down 6 of 60 CockroachDB nodes on Kubernetes within 22 minutes, and ranges lost quorum because the Helm-deployed cluster had no availability zone locality configured

   Devsisters2021

   Symptoms

   During a team dinner, a Slack alert reported that one node of the CockroachDB cluster behind Cookie Run: Kingdom had gone down. The DevOps engineers were not worried at first, because CockroachDB is built to survive the loss of some nodes.

   Node NotReadyData lossService outage

   Trigger

   A cooling system failure in an AWS Tokyo region data centre overheated the servers in one availability zone, which held CockroachDB nodes.

   Root cause

   Cloud provider outage

   Component

   Application databaseHelm

   Contributing factor

   Unverified assumptionExcessive blast radius

   Detection

   A Slack alert reported that a database node had gone down.

   Remediation

   • copied the data outside the broken ranges into new tables with INSERT INTO ... SELECT queries that skipped the affected ranges
   • ran debug unsafe-remove-dead-replicas together with Cockroach Labs engineers, recovering one of the two lost data ranges
   • restored the last data range with the storage-layer recovery method from the previous incident

   Action items

   • Configure CockroachDB Locality so data is spread evenly across availability zones
   • Deploy with one chart and a separate values file per availability zone to set Locality
   • Replace nodes by adding Locality-configured nodes, confirming replicas in every zone, then retiring the old nodes

   Lessons

   A replication factor sized for random instance retirements does not protect against a whole availability zone failing; for a game of this scale a multi-AZ placement is required, not optional. Keeping one uniform Helm chart made zone topology hard to set, which is part of why it was left out. A repetitive chart with a values file per zone sets it reliably.

   View case
5. IL-0037 Image registry rate-limited a whole region after a crash-looping DaemonSet with imagePullPolicy Always pulled through three NAT instances

   Datadog2019

   Symptoms

   Users reported that their jobs were not starting, with some sign that image pulls were involved. Many pods across the cluster were in error states related to image pulls, while applications that were already running were not affected.

   Image pull failuresService outage

   Trigger

   A change to the permissions on a storage bucket that one application needed to read. The application could no longer start, and its DaemonSet, running on roughly a thousand nodes of the cluster, went into a crash loop with imagePullPolicy: Always, so every restart pulled the image again although it was already on the node.

   Root cause

   Capacity exhaustion

   Component

   Container registry and its credentialsNAT gatewayApplication databaseAdmission webhook

   Contributing factor

   Automation amplificationSingle point of failureUnknown limitHarmful manual actionExcessive blast radius

   Detection

   Users reported that their jobs were not starting; monitoring had not caught it first.

   Remediation

   • replaced the affected NAT instances so registry traffic came from new source IPs
   • reconfigured the static IPs and firewall rules so applications could reach the Cloud SQL database again

   Action items

   • Add an admission webhook that rejects floating image tags, starting with latest
   • Apply the image tag webhook to workload objects only, not to pods, after it blocked pods created by in-cluster controllers

   Lessons

   The speakers' takeaway is to be very careful with DaemonSets in large clusters: they say they had broken everything DaemonSets depend on, including DNS, Vault and the image repository, and that it is very easy to break things when managing them by the thousand. imagePullPolicy: Always made every crash-loop restart pull the image again. Sending all registry traffic through three NAT instances put the whole region behind three source IPs, which the registry rate-limited, and changing those IPs cut the connections to a critical database reached over the internet through them. An admission webhook on pods rejects the pods that controllers in the cluster create, where no user sees the error.

   View case

By root cause3