Isla Nublar - A Prehistoric Postmortem

A fun and informative take on how a postmortem would look if we were to examine the incident at Jurassic Park in the original 1993 film! The takeaway should be that you walk away knowing the steps involves in a postmortem and the reasons for taking them.

Transcript

1. DevOps October 2019 ISLA NUBLAR: A PRE-HISTORIC POST-MORTEM Michael Winslow Director, Software Strategy & Transformation Comcast [voice of: Shilla Saebi]
2. Isla Nublar A Pre-Historic Post-Mortem Ingen 1994 Michael Winslow
3. Michael Winslow – SSTx – 04/04/2019
4. Things you should know… • YOU are still YOU • We all work for a big company called INGEN • This entire presentation was done on Windows • The Name Drop • The year is 1994 ( a few years after Jurassic Park incident ) Ingen 1994
5. What was 1994 like? • Movies: The Lion King, Forrest Gump, The Shawshank Redemption • Tensions start over inspection of nuclear plants in North Korea • Tonya Harding / Nancy Kerrigan • Netscape Navigator launched / The internet could actually be broke • OJ Simpson • Brazil wins World Cup ( Where’s Andrew??? ) • Songs: I Swear, Every single BoyzIIMen song, I’ll Stand By You Ingen 1994
6. Ingen 1994
7. Being Tomorrow, Today. Ingen 1994
8. What is a Blameless Post-Mortem? A blameless postmortem (or post-mortem) is a process intended to help you learn from past incidents. It typically involves an analysis or discussion soon after an event has taken place. Making the process blameless helps the people involved be more truthful. Findings are 98% Accurate Second only to the INSIGHT SURVEY RESULTS Ingen 1994
9. Parts of a Post-Mortem? • Title • Description • Timeline • Metrics • What Went Well? • Contributing Causes • Corrective Actions Ingen 1994
10. The Team worked overtime! Ingen 1994
11. Description On June, 2 1993 a major incident on the island of Isla Nublar caused the deaths of 5 people, 8 dinosaurs, a cow and a goat. We need to investigate what happened and note what can be done differently in the future. At the conclusion of this post-mortem, please decide if we are going to: a) Stop the program and avoid further loss of life b) Continue the program and MAKE THAT MONEY! Ingen 1994
12. In loving memory of the victims Isla Nublar, 1993 Bessie Gruff Ingen 1994
13. Ingen 1994
14. Timeline Ingen 1994
15. Timeline of Events 00:02:57 – Person opening the gate for velociraptor fell 00:03:30 – “Shoot ha! … Shoooooooot haaa!” – 1 Dead 00:32:58 – Cow Dies – Fed to Raptors 00:41:45 – Tour vehicles enter JP gates 00:49:00 – Tour manually exits vehicle (Triceritops Padoc) 00:53:34 – Dennis goes to vending machine 00:56:08 – Locking systems shut off 00:58:15 – Tour stops outside T-Rex padock : Fences disabled 01:00:21 – 3 failed login attempts by [rarnol201] 01:03:12 – Goat dies – Fed to T-Rex 01:03:36 – Vehicle1 doors open – we assume 1 passenger exits 01:03:59 – T-Rex fence breaks 01:05:08 – Vehicle1 door finally closes 01:05:52 – Vehicle1 disturbance detected (seems to be wobbly) 01:06:06 – Vehicle1 roof breaks (children touching equipment?) 01:06:30 – Vehicle1 completely off track (too heavy for children) 01:07:05 – Vehicle2 door opens 01:07:41 – Major damage to men’s room detected (death confirmed) 01:33:01 – Complete system shutdown / done manually 01:37:51 – Raptor fence broken (2 confirmed dead, 1 arm found) 01:43:28 – All power restored / power disruption on 1 fence 01:53:58 – Security Systems Reactivated 01:58:37 – All remaining people leave safely Ingen 1994
16. Timeline of Events 00:02:57 – Person opening the gate for velociraptor fell 00:03:30 – “Shoot ha! … Shoooooooot haaa!” 00:32:58 – Cow Dies – Fed to Raptors 00:41:45 – Tour vehicles enter JP gates 00:49:00 – Tour manually exits vehicle (Triceritops Paddock) 00:53:34 – Dennis goes to vending machine 00:56:08 – Locking systems shut off 00:58:15 – Tour stops outside T-Rex paddock : Fences disabled 01:00:21 – 3 failed login attempts by [] 01:03:12 – Goat dies – Fed to T-Rex 01:03:36 – Vehicle1 doors open – we assume 1 passenger exits 01:03:59 – T-Rex fence breaks 01:05:08 – Vehicle1 door finally closes 01:05:52 – Vehicle1 disturbance detected (seems to be wobbly) 01:06:06 – Vehicle1 roof breaks (children touching equipment?) 01:06:30 – Vehicle1 completely off track (too heavy for children) 01:07:05 – Vehicle2 door opens 01:07:41 – Major damage to men’s room detected (death confirmed) 01:33:01 – Complete system shutdown / done manually 01:37:51 – Raptor fence broken, confirmed escaped 01:43:28 – All power restored / power disruption on 1 fence 01:53:58 – Security Systems Reactivated 01:58:37 – All remaining people leave safely 55m43s Ingen 1994
17. What Went Well? (Please list all things that went well here) Ingen 1994
18. Contributing Causes and Corrective Actions Ingen 1994
19. “ ” WITNESS OPINION Mr. Hammond, after careful consideration, I've decided NOT to endorse your park. Dr. Alan Grant Paleontologist Ingen 1994
20. “ ” WITNESS OPINION Kids! You want to have one of those??? Dr. Alan Grant Paleontologist Ingen 1994
21. 1. Cancel the “Bring your kid to work” Program Ingen 1994
22. Ingen 1994
24. 2. Add door knobs that require opposable thumbs Ingen 1994
25. Ingen 1994
26. simulation
27. 3. Install hand sanitizers throughout the facilities Ingen 1994
28. “ ” WITNESS OPINION You read what others had done and you took the next step. You didn’t earn the knowledge for yourselves… Ian Malcolm Mathematician, chaos theory Ingen 1994
29. NITHYA RUFF OPEN-SAURUS PRACTICE OPEN-SAURUS PRACTICE COPY(FORK) WHAT OTHERS DO AND TAKE THE NEXT STEP! COPY(FORK) WHAT OTHERS DO AND TAKE THE NEXT STEP! 4. Start an Open-Saurus Practice Ingen 1994
30. “ ” WITNESS OPINION Clever Girl Robert Muldoon Game Warden DECEASED Ingen 1994
31. 5. Create a new clothing line for “Clever Girls” Ingen 1994
32. “ ” WITNESS OPINION Dinosaurs eat man. Woman inherits the earth! Dr. Ellie Sattler Paleobotanist UNDER INVESTIGATION Ingen 1994
33. “ ” WITNESS OPINION You know anybody who can network 8 connection machines and debug 2 million lines of code for what I bid for this job? Dennis Nedry Engineering 2 INNOCENT VICTIM Ingen 1994
34. 6. Name our most popular application after “Dennis” Nedry Ingen 1994
35. Ingen 1994
36. 7. Final inspection (should be ready now) Ingen 1994
37. Ingen 1994
39. It’s Time to Choose a) Stop the program and avoid further loss of life b) Continue the program and MAKE THAT MONEY! Ingen 1994
40. THE END
41. Dedicated to Dennis Nedry father of CHAOS Engineering
42. Ingen 1994