Cases6 cases

1 to 5 of 6

1. IL-0095 An engineer deleted the prod namespace of the LEAP JupyterHub while believing the kubeconfig pointed at a new cluster, and the hub was down for about an hour

   2i2c2025

   Symptoms

   At 5:00 PM BST on 12 August 2025 a 2i2c engineer declared an incident. While deploying a new cluster called temple and running into NFS issues, the engineer had deleted the prod namespace; the deletion hung, and listing the pods showed many users from a different cluster. The engineer's first message suggested that the kubeconfig had somehow been mutated or corrupted and that some other cluster was being torn down.

   Resources deletedService outage

   Trigger

   While working around a bug in the NFS deployment process for a new hub, an engineer ran a delete of the prod namespace with the kubeconfig context pointing at the LEAP cluster.

   Root cause

   Operator error

   Component

   Persistent volumes and stateful setsJobs and CronJobsIngress controllerTerraform

   Contributing factor

   No safeguard on destructive changeNo runbook

   Detection

   The engineer who ran the deletion noticed when it hung and the pod list showed users of another cluster, and declared the incident at 5:00 PM BST, before the uptime check on leap.2i2c.cloud failed at 5:32 PM.

   Remediation

   • deleted the single remaining user pod in prod so the namespace deletion completed
   • killed the nfs-share-creator job that was blocking the deployment
   • redeployed the prod hub with the updated NFS server IP address
   • deleted the prod ingress during the deployment so that users could not start servers mid-deployment

   Action items

   • Write an incident report
   • Write a short incident response document for the case "I deleted prod, what next?"
   • Upgrade jupyterhub-home-nfs and remove the nfs-share-creator job
   • Add opt-in hardening against nested kubeconfig contexts to the deployer system
   • Change the engineer's shell configuration to show distinct kubeconfig contexts more clearly

   Lessons

   Provisioning persistent storage outside Kubernetes with Terraform meant a deleted namespace cost an hour of downtime and no data. The engineer had no visible cue for which kubeconfig context was active, which turned a workaround on a new cluster into a deletion on a production one. The engineer knew the fix but did not feel confident redeploying without first confirming with the tech lead, in another time zone, that there was no risk of losing persistent data, and reaching the tech lead took time.

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2. 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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3. 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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4. 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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5. IL-0115 One of OpenAI's three production AKS clusters went offline through a human error, and rebuilding it took 10½ hours because an AKS Kubernetes upgrade broke the ingress and AKS cannot be downgraded

   OpenAI2022

   Symptoms

   At 18:56 PDT on 23 June 2022 (01:56 UTC on 24 June) several models went offline at once: some fine-tuned curie and davinci models, the Codex beta models code-davinci-001 and code-cushman-001, the legacy GPT models curie, babbage and ada, and all Embeddings models.

   Service outageHigh error rateIntermittent timeouts

   Trigger

   A destructive operation on one of the three production clusters, caused by human error that the existing safeguards did not catch, took the whole cluster offline.

   Root cause

   Operator error

   Component

   Ingress controllerModel hub

   Contributing factor

   No safeguard on destructive changeNo headroomDeferred upgradesOverlapping failures

   Remediation

   • re-allocated the models from the lost cluster to the remaining two clusters
   • rebuilt the VPN link with Azure support after losing the connection to AKS during cluster setup
   • built workarounds with Azure support after losing the connection to Azure Private Link
   • tore down the cluster and rebuilt it from scratch after the upgraded Kubernetes version broke the ingress
   • moved traffic back into the rebuilt cluster between 05:30 and 06:30 PDT

   Action items

   • Add checks and locks so that this and similar production-critical infrastructure cannot be modified by accident
   • Add better visibility into the operations being performed and make parts of the system more lexicographically distinct
   • Keep working with Azure on the AKS network connectivity issues so they do not disrupt new cluster operations
   • Update playbooks with the new cluster failure modes and change the setup steps for new clusters and infrastructure
   • Upgrade Kubernetes systematically and set aside time so the clusters do not fall behind again
   • Shard fine-tuned models across multiple clusters and work towards more automatic cross-cluster replication
   • Distribute and replicate Azure Blob Storage so fine-tuned models load faster and more reliably
   • Finish rolling out node-to-node caching to relieve Azure Blob Storage bottlenecks
   • Change how model weights are stored so they are more efficient and faster to load

   Lessons

   Losing one of three clusters exhausted the GPU headroom, and GPUs could not be added on short notice, so full recovery depended on bringing the same cluster back. Rebuilding it exposed a deferred Kubernetes upgrade: the newer version broke the ingress, and because AKS cannot downgrade there was no way back except a full rebuild. Recovering many large models at once is limited by the bandwidth of the storage they load from, and the caches that normally hide this do not help when everything moves to a different cluster.

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