Lightning Talk: Incidents are new normal - Kasia Balcerzak

blameless incident review

(1) gather facts

facts

events

everything related to incident

-logs

how our org behaved before, during, after the incident

not: when did you discover

yes: How did you discover...

led to the incident

or made the incident worse

causal factors by themselves are not a problem

incident = when causal factors are combined

eg. "not enough time for testing"

Root Causes

anything that allowed to happen + be ignored

serious incidents are combination

Don't prevent things from going wrong!

Try to make things go right!

risk management: "Can we handle this when it fails"

building a learning org is the only way to be proactive

failing things are normal

broken production is not normal

never waste a good incident to improve your org/product