Quick Definition
Postmortem (common meaning): A structured incident review conducted after a production outage or failure to document what happened, why, and how to prevent recurrence.
Analogy: A postmortem is like a flight incident investigation — collecting black box data, reconstructing events, and producing actionable changes to improve safety.
Formal technical line: A postmortem is a time-bound, evidence-driven artifact that captures timeline reconstruction, root cause analysis, impact assessment, corrective actions, and verification steps for a production event.
Other meanings:
- Academic/medical: Literal autopsy or forensic examination of biological remains.
- Code-level: Postmortem profiling, meaning deep performance analysis after a crash.
- Project review: A retrospective-style analysis of a completed project phase.
What is postmortem?
What it is:
- A documented, evidence-first review of an incident, outage, security event, or significant failure.
- Time-bounded and owned by a responsible author and reviewer group.
- Action oriented: captures immediate fixes and long-term corrective tasks with owners and timelines.
What it is NOT:
- A finger-pointing exercise.
- A substitute for real-time incident response or remediation.
- A marketing summary or PR statement; it should be factual and technical where needed.
Key properties and constraints:
- Evidence-driven: logs, traces, telemetry, and config snapshots.
- Reproducible timeline: clear ordering of events with timestamps and uncertainty ranges.
- Root-cause focused but includes contributing factors and systemic fixes.
- Security-sensitive: redaction and access controls applied where required.
- Actionable: tasks with owners, priority, and verification criteria.
- Timebox expectation: a draft within days and final within a sprint; exact timing varies by org.
Where it fits in modern cloud/SRE workflows:
- Post-incident: follows incident response, triage, and mitigation.
- SRE continuous improvement: feeds into SLO adjustments, runbook updates, and toilmaps.
- DevOps and Agile loops: informs backlog items, deployments, and CI/CD gating.
- Security operations: feeds into root-cause and threat-hunt follow-ups with evidence retention.
Diagram description (text-only):
- Incident occurs -> Alerts trigger -> On-call team mitigates -> Evidence captured (logs/traces/metrics/config) -> Postmortem owner reconstructs timeline -> Root cause analysis performed -> Identify corrective actions and risk mitigations -> Assign owners and verification steps -> Implement fixes and validate -> Update SLOs/runbooks/dashboard -> Close postmortem and share learnings.
postmortem in one sentence
A postmortem is a structured, evidence-based review performed after a production failure to determine causes, assign corrective actions, and reduce future risk.
postmortem vs related terms (TABLE REQUIRED)
| ID | Term | How it differs from postmortem | Common confusion |
|---|---|---|---|
| T1 | Incident report | Short summary focused on immediate impact | Seen as full analysis |
| T2 | RCA | Root cause analysis focuses on cause not actions | Assumed complete without mitigations |
| T3 | Blameless retrospective | Broader team process for continuous work | Thought identical to postmortem |
| T4 | Post-incident review | Synonym in many orgs but may omit evidence | Treated as informal meeting notes |
| T5 | Forensic investigation | Security-focused and may be legal-grade | Mistaken for routine postmortem |
Row Details
- T1: Incident report usually contains timeline and impact only; postmortem adds root cause, actions, verification.
- T2: RCA is a component of postmortem; RCA may lack timelines and prioritization for fixes.
- T3: Retrospective is iterative process about team practices; postmortem targets a specific failure.
- T4: Post-incident review sometimes means a meeting; postmortem should be a documented artifact.
- T5: Forensics requires chain-of-custody and may be restricted; postmortem is generally internal learning-focused.
Why does postmortem matter?
Business impact:
- Reduces recurrence of incidents that affect revenue and customer trust.
- Helps quantify and communicate risk to leadership and stakeholders.
- Facilitates compliance and audit trails for regulated industries.
Engineering impact:
- Identifies systemic causes that reduce toil and increase engineering velocity.
- Clarifies gaps in testing, deployment, and observability.
- Drives prioritized backlog items that improve reliability and mean time to repair.
SRE framing:
- Links incidents to SLIs/SLOs and error budgets.
- Informs whether to consume error budget or stop launches.
- Helps convert toil into automation projects and runbook improvements.
Realistic “what breaks in production” examples:
- Partial region outage causes traffic spikes on remaining regions and latency increases.
- Database schema migration introduces a slow query causing cascading timeouts.
- CI/CD pipeline deploys a config change that enables an unsafe feature flag.
- Autoscaling misconfiguration leads to resource starvation during traffic surge.
- Third-party API rate-limit changes cause downstream request failures.
Where is postmortem used? (TABLE REQUIRED)
| ID | Layer/Area | How postmortem appears | Typical telemetry | Common tools |
|---|---|---|---|---|
| L1 | Edge and CDN | Latency or cache invalidation incident review | HTTP logs and cache metrics | Observability platforms |
| L2 | Network | DDoS or route flap postmortem | Netflow and BGP logs | Network monitoring tools |
| L3 | Service / API | High error-rate or timeout incident | Traces, metrics, request logs | APM and tracing |
| L4 | Application | Memory leak or crash postmortem | App logs, exceptions, heap dumps | Logging and profiling |
| L5 | Data | ETL failure or job drift review | Job logs, row counts, CPS metrics | Data pipeline tools |
| L6 | Infra (K8s) | Scheduler or node failure postmortem | Kube events, pod metrics | K8s observability tools |
| L7 | Serverless/PaaS | Cold start or throttling review | Invocation metrics, duration | Cloud provider metrics |
| L8 | CI/CD | Bad deploy or rollback analysis | Pipeline logs, artifact metadata | CI tools and artifact repos |
| L9 | Security | Breach or privilege escalation postmortem | Audit logs, alerts | SIEM and audit systems |
| L10 | Cost | Unexpected billing spike review | Billing and usage metrics | Cloud billing dashboards |
Row Details
- L1: Edge incidents often require CDN provider logs and cache invalidation records; reconstruct request flows.
- L6: Kubernetes postmortems need control plane logs and node-level telemetry to diagnose scheduling bottlenecks.
- L7: Serverless postmortems should include cold-start histograms and concurrent execution metrics.
When should you use postmortem?
When it’s necessary:
- Production incidents with measurable customer impact.
- Security incidents or data breaches.
- Recurrent failures crossing a threshold frequency or severity.
- SLO breaches and large error budget consumption.
When it’s optional:
- Minor incidents with no customer-visible impact and trivial fixes.
- Non-production failures in dev environments, unless they reveal systemic issues.
- Experiments that intentionally break things during chaos testing—documented as learning labs.
When NOT to use / overuse it:
- For every trivial alert or brief blip with no impact.
- As a punitive mechanism against individuals.
- When faster lightweight notes would suffice (post-incident ticket with quick fix).
Decision checklist:
- If customer-visible outage AND > X minutes of impact -> full postmortem.
- If internal-only and resolved within Y minutes with known fix -> incident ticket only.
- If security-sensitive -> a controlled forensics process, not a public postmortem.
Maturity ladder:
- Beginner: Document major incidents; basic timeline and owner for fixes.
- Intermediate: Add RCA, immediate fixes, and verify tasks with owners and deadlines.
- Advanced: Automated evidence collection, SLO-linked triggers, integrated verification, and continuous learning loops.
Examples:
- Small team: If an outage causes customer errors for >30 minutes or >5% traffic fail rate -> write a lightweight postmortem within 48 hours.
- Large enterprise: If incident triggers cross-team involvement, regulatory impact, or >2% revenue impact -> convene formal postmortem with legal and security review, draft within 3 business days.
How does postmortem work?
Components and workflow:
- Evidence collection: logs, traces, metrics, config snapshots, runbook steps.
- Timeline reconstruction: ordered events with timestamps and confidence.
- Impact assessment: customers affected, features impacted, business metrics.
- Root cause analysis: iterative hypothesis testing and confirmation.
- Action items: immediate mitigations and long-term fixes with owners.
- Verification: tests, canary rollouts, and game days verify fixes.
- Sharing and closure: distribution to stakeholders and inclusion in learning repository.
Data flow and lifecycle:
- Monitoring -> Alert -> Incident -> Evidence retained -> Postmortem authored -> Action items added to backlog -> Fix implemented -> Validation -> Postmortem closed and archived.
Edge cases and failure modes:
- Missing telemetry prevents full timeline reconstruction.
- Evidence retention policies purge necessary logs.
- Postmortem becomes endless without clear owners or deadlines.
- Sensitive incidents need redacted public versions.
Short practical example (pseudocode):
- Collect traces: query traces where status != 200 between T0 and T1.
- Reconstruct timeline: sort events by timestamp, group by request ID.
- Identify root cause: correlate increased latency with a specific backend service.
Typical architecture patterns for postmortem
- Centralized evidence store: Collect logs, traces, and snapshots into a single indexed repository for reconstruction.
- When to use: organizations with many services and shared ownership.
- Distributed stitched view: Keep evidence in source systems but use orchestration to stitch timelines at postmortem time.
- When to use: avoids heavy ingestion costs; useful for regulated data.
- Automated postmortem starter: On incident closure, automatically create a skeleton postmortem with telemetry links and timeline templates.
- When to use: high incident volume teams to reduce manual work.
- Security-first workflow: Postmortems with restricted access, forensic controls, and legal review steps.
- When to use: breaches and regulated data incidents.
- SLO-triggered postmortem: Create postmortem when SLO breach or error budget burn threshold exceeded.
- When to use: SRE teams prioritizing SLO-driven reliability.
Failure modes & mitigation (TABLE REQUIRED)
| ID | Failure mode | Symptom | Likely cause | Mitigation | Observability signal |
|---|---|---|---|---|---|
| F1 | Missing logs | Incomplete timeline | Short retention or TTL misconfig | Increase retention and snapshot on incident | Gaps in timestamps |
| F2 | No correlation IDs | Hard to trace requests | Instrumentation missing | Add request tracing headers | High orphaned trace rate |
| F3 | Evidence TTL expired | Cannot reproduce event | Aggressive cleanup policies | Implement emergency snapshot policy | Alerts about log pruning |
| F4 | Overlong postmortem | Action items stall | No owners or deadlines | Assign owners and deadlines | Stuck status in PM tool |
| F5 | Sensitive data leak | Redacted fields missing | Poor redaction process | Automated redaction templates | Redaction warnings in logs |
| F6 | Alert fatigue | Ignored incidents | No dedupe or grouping | Improve alert rules and dedupe | Low acknowledgement rates |
| F7 | Conflicting timelines | Multiple teams disagree | Clock skew or timezone issues | Use synchronized time sources | Inconsistent timestamps |
| F8 | Lack of verification | Fixes not validated | No test or game day | Add verification criteria | No verification log entries |
| F9 | Blame culture | Poor participation | Punitive incident reviews | Blameless facilitation training | Low postmortem contribution |
| F10 | Legal hold missed | Evidence deleted | Unclear legal process | Add legal hold step to process | Missing audit entries |
Row Details
- F2: Add middleware that injects correlation IDs at ingress and propagate across services; instrument tracing libraries.
- F3: Implement an “incident snapshot” that preserves logs/traces/config for a defined grace period.
- F7: Ensure NTP/PTP across hosts and log timestamps in ISO 8601 with UTC.
Key Concepts, Keywords & Terminology for postmortem
(40+ compact entries)
- Incident — Unplanned interruption or degradation — Focus for postmortem — Pitfall: Vague impact definition
- Outage — Total service unavailability — Drives urgency — Pitfall: Confusing partial degradations
- Root Cause Analysis — Process to find underlying cause — Central to fixes — Pitfall: Stopping at first cause
- Timeline — Ordered events with timestamps — Foundation of reconstruction — Pitfall: Missing time sources
- Blameless culture — Focus on system fixes not individuals — Promotes participation — Pitfall: Misapplied as no accountability
- Evidence retention — How long logs/traces are kept — Enables analysis — Pitfall: Retention too short
- Correlation ID — Unique request identifier — Connects logs/traces — Pitfall: Not propagated
- SLO — Service level objective — Targets reliability — Pitfall: Vague SLOs
- SLI — Service level indicator — Measurable signal for SLO — Pitfall: Measuring wrong metric
- Error budget — Allowed unreliability quota — Drives release decisions — Pitfall: Ignoring small burns
- On-call — Person responsible for immediate response — First responder — Pitfall: Overloaded rota
- Runbook — Step-by-step operational instructions — Speeds mitigations — Pitfall: Outdated steps
- Playbook — Higher-level decision guidance — Helps triage — Pitfall: Too generic
- Canary — Partial deploy to limit blast radius — Validation technique — Pitfall: Insufficient traffic for validation
- Rollback — Revert change to restore service — Emergency measure — Pitfall: Not tested
- RCA tree — Visual cause breakdown — Helps root mapping — Pitfall: Too deep without actions
- Forensics — Formal evidence analysis — Needed for breaches — Pitfall: Delayed preservation
- Post-incident review — Meeting to discuss incident — Short format — Pitfall: No artifact produced
- Automation — Scripts or processes that reduce toil — Improves repeatability — Pitfall: Hardcoded credentials
- Observability — Ability to infer internal state — Essential for postmortem — Pitfall: Gaps in telemetry
- Tracing — Request path telemetry — Pinpoints latency and errors — Pitfall: Sparse spans
- Metrics — Aggregated numeric signals — Quick health snapshot — Pitfall: Incorrect agr aggregation
- Logging — Event records — Detailed context — Pitfall: Excessive noise
- Audit logs — Immutable records of changes — For compliance — Pitfall: Poor indexing
- Chaos engineering — Controlled experiments that reveal weaknesses — Preventative tool — Pitfall: Poorly scoped experiments
- Game day — Simulated incident exercise — Verifies procedures — Pitfall: No follow-up
- Postmortem owner — Person tasked to write postmortem — Ensures completion — Pitfall: Ownerless artifacts
- Action item — Specific corrective task — Drives change — Pitfall: No verification
- Verification criteria — How to confirm a fix — Provides closure — Pitfall: Ambiguous criteria
- Priority matrix — Urgency vs impact for actions — Guides scheduling — Pitfall: Ignoring cross-team dependencies
- Telemetry stitching — Correlating logs, traces, metrics — Enables timeline — Pitfall: Inconsistent IDs
- Alerting threshold — When a signal triggers alert — Balances noise — Pitfall: Too noisy or too quiet
- Deduplication — Merge similar alerts — Reduces noise — Pitfall: Over-aggregation hides real issues
- Burn-rate — Speed of error budget consumption — Helps escalation — Pitfall: Ignored thresholds
- Incident commander — Role to coordinate response — Organizes teams — Pitfall: Unclear handoff
- Severity level — Classified impact level — Defines response cadence — Pitfall: Inconsistent definitions
- RCA techniques — e.g., 5 Whys, fishbone — Methods to analyze cause — Pitfall: Misapplied technique
- Configuration drift — Divergence of config across envs — Common cause — Pitfall: No config audit
- Immutable infrastructure — Replace rather than modify nodes — Simplifies rollback — Pitfall: State handling
- Single pane of glass — Unified observability view — Speeds triage — Pitfall: Over-reliance without context
- Postmortem backlog — Aggregated corrective tasks — Tracks long-term fixes — Pitfall: Not prioritized
- Legal hold — Preserve evidence for investigation — Required for breaches — Pitfall: Not invoked in time
- Redaction — Remove sensitive data from artifacts — Protects PII — Pitfall: Over-redacting useful data
- Controlled disclosure — Public postmortem released with care — Maintains trust — Pitfall: Incomplete disclosure
- Continuous verification — Automated checks to ensure fixes persist — Prevents regressions — Pitfall: Missing coverage
How to Measure postmortem (Metrics, SLIs, SLOs) (TABLE REQUIRED)
| ID | Metric/SLI | What it tells you | How to measure | Starting target | Gotchas |
|---|---|---|---|---|---|
| M1 | Time to Detect (TTD) | How fast incidents are noticed | Time between fault and alert | < 5 minutes for critical | Noisy alerts distort measure |
| M2 | Time to Acknowledge (TTA) | How fast on-call responds | Time between alert and ack | < 5 minutes for critical | Automated acks may skew |
| M3 | Time to Mitigate (TTM) | How fast impact reduced | Time to reach mitigated state | < 30 minutes for severe | Varies by incident type |
| M4 | Time to Resolve (TTR) | Full recovery duration | From incident start to service restored | Depends on SLOs | Partial restorations count |
| M5 | Postmortem completion time | Speed of analysis publication | Time from incident closure to draft | 72 hours recommended | Complex incidents need longer |
| M6 | Repeat incident rate | Recurrence frequency | Count similar incidents per quarter | Decrease over time | Requires classification rules |
| M7 | Action item closure rate | Implementation of fixes | Percent of actions closed on time | > 80% within SLA | Missing owners break metric |
| M8 | SLO compliance | Reliability against objective | Ratio of good requests over window | Typical 99.9 or per-service | Must match user experience |
| M9 | Error budget burn rate | Speed of SLO consumption | Errors per time divided by budget | Alert at 50% burn for month | Short windows produce spikes |
| M10 | Observability coverage | Gaps in logs/traces/metrics | Percent of services with full telemetry | Aim for > 90% critical services | Hard to standardize across teams |
Row Details
- M5: “72 hours recommended” varies; security incidents may require legal review before publishing.
- M8: Starting SLO targets depend on product impact and customer expectations; 99.9% is an example, not universal.
Best tools to measure postmortem
Tool — Observability Platform A
- What it measures for postmortem: Traces, metrics, logs correlation
- Best-fit environment: Microservices and containerized workloads
- Setup outline:
- Instrument services with tracing library
- Send metrics to platform
- Configure dashboards and alerts
- Enable log indexing and retention
- Strengths:
- Unified cross-service correlation
- Powerful query language
- Limitations:
- Cost at high cardinality
- Requires instrumentation discipline
Tool — Log Indexer B
- What it measures for postmortem: High-volume logs and search
- Best-fit environment: Centralized logging needs
- Setup outline:
- Configure agents on nodes
- Define parsers and ingestion pipelines
- Set retention and archive rules
- Strengths:
- Fast search and flexible parsing
- Good for forensic analysis
- Limitations:
- Storage costs and potential PII exposure
- Query performance for very large datasets
Tool — Tracing System C
- What it measures for postmortem: Distributed request traces & latency
- Best-fit environment: Service meshes and RPC-heavy systems
- Setup outline:
- Add tracing headers and instrumentation
- Configure sampling and storage
- Link traces to logs via IDs
- Strengths:
- Pinpoints latency hotspots
- End-to-end request visibility
- Limitations:
- Sampling may miss rare events
- Instrumentation gaps reduce value
Tool — Incident Management D
- What it measures for postmortem: Alerting, on-call, incident timelines
- Best-fit environment: Teams with multi-shift on-call
- Setup outline:
- Configure escalation policies
- Integrate alert sources
- Enable postmortem templates
- Strengths:
- Streamlines incident coordination
- Automates post-incident workflows
- Limitations:
- Tooling overhead for small teams
- Configuration complexity
Tool — CI/CD & Deploy Tracker E
- What it measures for postmortem: Deployment metadata and rollbacks
- Best-fit environment: Automated deployment pipelines
- Setup outline:
- Tag releases and record artifacts
- Link deploys to incidents
- Add canary automation
- Strengths:
- Correlates incidents with deploys
- Enables fast rollback
- Limitations:
- Requires discipline in tagging and metadata capture
Recommended dashboards & alerts for postmortem
Executive dashboard:
- Panels:
- High-level SLO compliance and trend: shows service-level reliability.
- Business impact metrics: revenue, active users affected.
- Major incidents in timeframe: list and status.
- Action item health: percent overdue.
- Why: Leadership needs quick assessment of reliability and risk.
On-call dashboard:
- Panels:
- Current alerts with severity and runbook link.
- Service health heatmap by region.
- Recent deploys and rollbacks.
- Key traces and slowest endpoints.
- Why: Gives responders immediate triage inputs.
Debug dashboard:
- Panels:
- End-to-end traces for a request ID.
- Error rate by endpoint and error type.
- Recent config changes and feature flag statuses.
- Resource metrics (CPU/memory) per host/pod.
- Why: Focused for engineers debugging root cause.
Alerting guidance:
- Page vs ticket: Page (immediate escalation) for customer impact or SLO-critical incidents; ticket for non-urgent or monitoring-only issues.
- Burn-rate guidance: Trigger brigade when burn rate exceeds 2x baseline for an hour or reaches 50% of monthly budget; escalate by severity tiers.
- Noise reduction tactics:
- Deduplicate alerts by fingerprinting common root causes.
- Group alerts by service and error class.
- Suppress noisy alerts during maintenance windows and planned rollouts.
Implementation Guide (Step-by-step)
1) Prerequisites – Define incident severity taxonomy and postmortem policy. – Ensure observability stack covering logs, traces, metrics. – Establish on-call rotation and incident commander role. – Set evidence retention policies and legal hold process.
2) Instrumentation plan – Add correlation IDs at API gateways and propagate. – Standardize logging schema and log levels. – Instrument SLIs and expose them to metrics backend. – Ensure tracing spans at key service boundaries.
3) Data collection – Centralize logs, metrics, and traces with searchable retention. – Snapshot configs and deployment metadata on incident start. – Capture container/pod state and host-level metrics. – Export audit logs and IAM changes for security incidents.
4) SLO design – Define user-facing SLIs and measurement windows. – Set SLOs based on business impact and error budget policy. – Configure alerts tied to SLO burn rates.
5) Dashboards – Build executive, on-call, and debug dashboards. – Add trace links and pre-filtered queries for common errors. – Include deploy metadata and feature flag states.
6) Alerts & routing – Configure escalation policies and paging thresholds. – Group alerts by service and root-cause fingerprint. – Integrate with incident management for automatic incident creation.
7) Runbooks & automation – Maintain runbooks for common failures with step-by-step mitigations. – Automate mitigation where safe (e.g., scale-up, traffic shift). – Provide runbook links in alerts and dashboards.
8) Validation (load/chaos/game days) – Perform load tests and run chaos engineering experiments. – Conduct game days to exercise runbooks and postmortem flow. – Validate telemetry coverage and evidence collection.
9) Continuous improvement – Prioritize postmortem action items into backlog. – Track closure and verification status. – Review postmortem metrics in ops reviews.
Checklists
Pre-production checklist:
- SLIs defined for key paths.
- Instrumentation in dev matches prod.
- CI/CD tags deploy metadata.
- Runbooks for critical failures exist and are tested.
Production readiness checklist:
- Monitoring alerts configured and verified.
- On-call rotation set and reachable contacts tested.
- Emergency snapshots enabled.
- Backup and restore tested within SLA.
Incident checklist specific to postmortem:
- Start incident ticket and assign owner.
- Preserve evidence snapshot (logs/traces/config).
- Record timeline events as they happen.
- Create postmortem draft within 72 hours.
- Assign action items with owners and verification criteria.
Examples:
- Kubernetes example:
- Instrument pod readiness/liveness probes and collect kube events.
- On incident, snapshot pod specs and node metrics; collect kube-scheduler logs.
- Good looks like reconstructed timeline with pod creation times and eviction reasons.
- Managed cloud service example:
- Capture provider incident IDs and retention snapshots for managed DB.
- Collect service metrics and provider logs; record recent maintenance windows.
- Good looks like mapping outage to provider event and mitigation via fallback replica.
Use Cases of postmortem
-
API Gateway Latency Spike – Context: Customers see 500ms added latency. – Problem: Increased request timeouts and retries. – Why postmortem helps: Reconstructs request paths and identifies bottleneck service. – What to measure: P99 latency, error rate, CPU load on backend pods. – Typical tools: Tracing, APM, metrics backend.
-
Kafka Consumer Lag Increase – Context: Data pipelines fall behind during peak load. – Problem: ETL delays and downstream stale data. – Why postmortem helps: Identifies producer burst or consumer backpressure. – What to measure: Consumer lag, processing rate, GC pauses. – Typical tools: Kafka metrics, consumer group monitoring.
-
Kubernetes Scheduler Throttling – Context: Pods pending for scheduling during scale event. – Problem: Capacity planning and scheduler performance. – Why postmortem helps: Reveals resource constraints and misconfigured requests. – What to measure: Pod Pending time, node allocatable, scheduler API latency. – Typical tools: Kubernetes events, metrics-server, node exporter.
-
CI/CD Bad Deploy – Context: A deploy accidentally flips feature flag on in prod. – Problem: Customer-facing bug enabled. – Why postmortem helps: Traces deploy metadata, rollbacks, and process gaps. – What to measure: Deploy timelines, rollback time, number of affected requests. – Typical tools: CI pipeline logs, feature flagging system.
-
Third-Party API Rate Limit Change – Context: Partner API reduces quotas unexpectedly. – Problem: Increased failures for requests relying on partner. – Why postmortem helps: Correlates partner error codes to internal retries. – What to measure: Third-party error rate, retry attempts, user error rates. – Typical tools: HTTP logs, metrics, alerting on third-party 429s.
-
RDS Failover During Peak Traffic – Context: Managed DB failover causes query timeouts. – Problem: Transaction retries and partial failures. – Why postmortem helps: Verifies provider impact and application retry behavior. – What to measure: DB latency, failover time, connection errors. – Typical tools: DB monitoring, cloud provider incident logs.
-
Security Incident: Credential Exposure – Context: Secret committed to repo triggers compromise risk. – Problem: Unauthorized access and potential data exfiltration. – Why postmortem helps: Tracks exposure window and remediation steps. – What to measure: Access logs, token usage, scope of affected resources. – Typical tools: IAM logs, code scanning tools, SIEM.
-
Cost Spike from Misconfigured Autoscaler – Context: Unexpected resource spin-up increases spend. – Problem: Budget blowout and performance-cost mismatch. – Why postmortem helps: Identify scaling rules and taxonomies for throttles. – What to measure: Pod counts, instance hours, cost per service. – Typical tools: Cloud billing, autoscaler metrics.
Scenario Examples (Realistic, End-to-End)
Scenario #1 — Kubernetes scheduling storm
Context: During a marketing campaign, many jobs launch and pods stay pending.
Goal: Restore service capacity and prevent recurrence.
Why postmortem matters here: Identifies resource request/limit misconfig and cluster autoscaler gaps.
Architecture / workflow: Microservices on K8s with HPA and Cluster Autoscaler; ingress via load balancer.
Step-by-step implementation:
- Snapshot kube events and node metrics.
- Correlate pod pending times with node provisioning logs.
- Analyze pod resource requests and node types.
- Add immediate mitigation: add temporary node pool with proper instance types.
- Long-term: adjust requests, enable buffer autoscaling, add quota guardrails.
What to measure: Pod pending duration, node provisioning time, CPU/memory pressure.
Tools to use and why: Kube events, metrics-server, cloud provider node logs, cluster autoscaler metrics.
Common pitfalls: Not preserving event logs; autoscaler cooldowns hide cause.
Validation: Run load test simulating campaign and verify pods scale with low pending time.
Outcome: Reduced pending time and documented scaling playbook added to runbooks.
Scenario #2 — Serverless cold start causing errors (managed-PaaS)
Context: A serverless function exhibits high latency and 5xx errors under burst.
Goal: Reduce cold-start impact and stabilize error rates.
Why postmortem matters here: Pinpoints cold-start frequency, provisioned concurrency gaps, and third-party thermal effects.
Architecture / workflow: Event-driven lambdas calling managed database and external APIs.
Step-by-step implementation:
- Gather invocation logs, duration histograms, and error traces.
- Identify periods with high cold-start duration and DB connection spikes.
- Mitigation: provisioned concurrency for critical endpoints and keep-alive strategy for DB.
- Improve error handling and circuit breaker for downstream API.
What to measure: Invocation latency distribution, cold start rate, DB connection count.
Tools to use and why: Provider metrics, logs, tracing wrapper.
Common pitfalls: Overprovisioning increases cost; incomplete telemetry on warm/cold markers.
Validation: Simulated burst tests and compare error rates and p90 latency.
Outcome: Lowered cold-start induced errors with adjusted concurrency and cost monitoring.
Scenario #3 — Incident-response postmortem for data leak
Context: Unauthorized access detected to S3 bucket.
Goal: Contain leak, assess scope, and prevent recurrence.
Why postmortem matters here: Legal and regulatory needs plus remediation steps and proof of mitigation.
Architecture / workflow: Cloud storage with IAM roles and public access audits.
Step-by-step implementation:
- Invoke legal hold, snapshot access logs, and rotate keys.
- Reconstruct access timeline from audit logs.
- Perform RCA: misconfigured bucket policy and missing monitoring alert for public ACL changes.
- Implement remediation: enforce Terraform-managed buckets, add policy guardrails, enable alerts.
What to measure: Number of exposed objects, access IPs, time window of exposure.
Tools to use and why: Cloud audit logs, IAM reports, configuration as code.
Common pitfalls: Destroying evidence by inadvertent edits; delayed legal hold.
Validation: Run policy enforcement test and simulate unauthorized access attempts in a sandbox.
Outcome: Closed exposure, legal notification completed, and policy enforcement added.
Scenario #4 — Cost vs performance trade-off on DB replicas
Context: Adding read replicas reduced latency but spiked cost unexpectedly.
Goal: Balance read performance with sustainable cost.
Why postmortem matters here: Provides data-driven plan for right-sizing and query optimization.
Architecture / workflow: Primary DB with multiple read replicas across regions.
Step-by-step implementation:
- Gather read latency by region and examine query patterns.
- Identify heavy queries and unoptimized indexes.
- Mitigation: query optimization, caching layer introduction, scheduled replica scaling.
- Verify cost model and autoscaling rules.
What to measure: Read latency, replica CPU/utilization, cost per replica-hour.
Tools to use and why: DB monitoring, APM, billing dashboards.
Common pitfalls: Ignoring cache misses; reactive replication without query fixes.
Validation: Run production-like workload with proposed changes and observe cost-performance curves.
Outcome: Optimized queries and autoscaling reduced cost while keeping latency targets.
Common Mistakes, Anti-patterns, and Troubleshooting
(Each entry: Symptom -> Root cause -> Fix)
- Symptom: Postmortems never finish. -> Root cause: No owner or deadline. -> Fix: Assign owner and SLA for draft and final.
- Symptom: Missing timeline entries. -> Root cause: No event logging at ingress. -> Fix: Add request logs and correlation IDs.
- Symptom: Postmortem blames individuals. -> Root cause: Cultural fault and incident wording. -> Fix: Enforce blameless language policy and facilitator role.
- Symptom: Action items not closed. -> Root cause: No prioritization or owners. -> Fix: Require owners, deadlines, and verification criteria.
- Symptom: Repeated incidents. -> Root cause: Fixes are tactical only. -> Fix: Add systemic changes and architectural remediation.
- Symptom: Incomplete evidence. -> Root cause: Short retention or lack of snapshot. -> Fix: Implement incident snapshot retention policy.
- Symptom: Alerts ignored. -> Root cause: Alert fatigue. -> Fix: Review alert thresholds, dedupe, and group related alerts.
- Symptom: Too many false positives. -> Root cause: Bad alert rules. -> Fix: Tune thresholds and add contextual filters.
- Symptom: Lack of observability coverage. -> Root cause: No instrumentation standard. -> Fix: Define baseline telemetry for services.
- Symptom: Correlation IDs absent. -> Root cause: Library not integrated. -> Fix: Add middleware to inject and propagate IDs.
- Symptom: Legal evidence lost. -> Root cause: No legal hold step. -> Fix: Add legal hold in incident checklist immediately for breaches.
- Symptom: Public postmortem leaks PII. -> Root cause: No redaction templates. -> Fix: Create redaction process and templates.
- Symptom: Postmortem too technical for leadership. -> Root cause: No executive summary. -> Fix: Add concise impact and business actions section.
- Symptom: Security incidents not shared. -> Root cause: Overly restricted process. -> Fix: Define staged disclosure with redacted public version.
- Symptom: Runbooks outdated. -> Root cause: No periodic review. -> Fix: Review runbooks after each relevant postmortem.
- Symptom: Conflicting timelines across teams. -> Root cause: Clock skew. -> Fix: Enforce NTP and log in UTC.
- Symptom: Alerts during deploys. -> Root cause: No maintenance suppression. -> Fix: Suppress expected alerts or mark planned rollout windows.
- Symptom: Missing deploy metadata. -> Root cause: CI not tagging builds. -> Fix: Add automated deploy tagging and artifact tracking.
- Symptom: High postmortem backlog. -> Root cause: Low prioritization. -> Fix: Allocate weekly time to process and close actions.
- Symptom: Overly general action items. -> Root cause: Vague recommendations. -> Fix: Make actions specific, with code references and test steps.
- Symptom: Observability blind spots in data pipelines. -> Root cause: No lineage telemetry. -> Fix: Add per-stage metrics and success rates.
- Symptom: Slow TTR. -> Root cause: Lack of runbook or automated rollback. -> Fix: Introduce safe rollback automation and tested runbooks.
- Symptom: Missing cost signals. -> Root cause: Billing not linked to services. -> Fix: Tag resources and integrate cost dashboards.
- Symptom: No verification after fixes. -> Root cause: No verification criteria. -> Fix: Require verification steps and evidence before closing actions.
- Symptom: Postmortems used to punish. -> Root cause: Management incentives misaligned. -> Fix: Re-align incentives to system reliability and shared ownership.
Observability pitfalls (at least 5 included above):
- Missing correlation IDs, insufficient retention, sparse tracing sampling, outdated runbooks for alerting, and lack of deploy metadata.
Best Practices & Operating Model
Ownership and on-call:
- Assign postmortem ownership to the primary responder or service owner.
- Rotate incident commander and define escalation policy.
- Keep on-call load sustainable and cap paging frequency.
Runbooks vs playbooks:
- Runbooks: Specific commands and steps for mitigation.
- Playbooks: Higher-level decision flow to guide triage.
- Keep both versioned in code or config and test them.
Safe deployments:
- Canary deploys, feature flags, automatic rollbacks on health checks.
- Ensure canary traffic is representative of production.
Toil reduction and automation:
- Automate evidence snapshots and initial postmortem skeletons.
- Automate common mitigations (scale up, traffic shift) with safe guards.
Security basics:
- Add legal hold step for suspected breaches.
- Redact PII in published postmortems.
- Limit access to raw forensic artifacts.
Weekly/monthly routines:
- Weekly: Review open postmortem action items and verification status.
- Monthly: SLO review and incident trend analysis.
- Quarterly: Run game days and chaos experiments.
What to review in postmortems related to postmortem:
- Timeliness of the postmortem vs SLA.
- Quality of timeline and evidence.
- Closure and verification of action items.
- Root causes and whether systemic changes were prioritized.
What to automate first:
- Evidence snapshot on incident start.
- Postmortem skeleton creation linking telemetry.
- Correlation ID injection and propagation.
- Deploy metadata capture.
Tooling & Integration Map for postmortem (TABLE REQUIRED)
| ID | Category | What it does | Key integrations | Notes |
|---|---|---|---|---|
| I1 | Observability | Correlates logs metrics traces | CI, infra, APM | Central for reconstruction |
| I2 | Logging | Indexes and searches logs | Cloud storage, SIEM | Retention costs apply |
| I3 | Tracing | Shows request flows | Gateway, services, APM | Sampling considerations |
| I4 | Incident mgmt | Pages and tracks incidents | Alerting, chat ops | Automates postmortem templates |
| I5 | CI/CD | Records deploy metadata | SCM, artifact repo | Essential for deploy correlation |
| I6 | Feature flags | Controls feature toggles | SDKs and environments | Link to incidents during rollouts |
| I7 | Cost mgmt | Tracks spend by tag | Cloud billing, tagging | Useful for cost-related postmortems |
| I8 | Security / SIEM | Aggregates security alerts | IAM, audit logs | Legal and forensics needs |
| I9 | Configuration mgmt | Stores infra as code | SCM and pipelines | Prevents drift and ensures audits |
| I10 | Data lineage | Tracks ETL flow | Data catalog, pipeline tools | Important for data incidents |
Row Details
- I1: Observability platforms vary; ensure they connect to logs, traces, and metrics and accept deploy metadata.
- I4: Incident management systems should auto-create postmortem drafts and track action items.
Frequently Asked Questions (FAQs)
What is the difference between postmortem and RCA?
A postmortem includes an RCA plus timeline, impact, action items, and verification steps; RCA focuses mainly on causes.
What is the difference between post-incident review and postmortem?
A post-incident review can be an informal meeting; a postmortem is a documented, evidence-backed artifact.
What’s the difference between a postmortem and a retrospective?
Retrospectives focus on teams and processes over time; postmortems target a specific incident for technical root cause and fixes.
How do I start writing a postmortem?
Begin with a concise executive summary, incident timeline, impact assessment, RCA, action items with owners, and verification criteria.
How do I decide if an incident needs a postmortem?
Use impact and recurrence criteria; customer-visible outages, SLO breaches, security incidents, or cross-team impacts generally require one.
How do I measure postmortem quality?
Track completion time, action item closure rate, and repeat incident rate; ensure timelines are evidence-backed.
How do I redact sensitive information in a postmortem?
Define redaction templates and automate redaction where possible; maintain a full internal copy with restricted access.
How do I automate evidence collection on incident start?
Integrate incident management with observability to snapshot logs, traces, and configs when an incident ticket is opened.
How do I integrate postmortems with SLOs?
Use SLO breach or error budget thresholds to trigger mandatory postmortems and tie analysis to SLI behavior.
How do I prevent postmortems from becoming blame games?
Enforce blameless language, focus on systems and processes, and train facilitators for neutral moderation.
How do I get executives to read postmortems?
Start with a one-paragraph executive summary that states impact, business consequence, and actions.
How do I track action items from postmortems?
Create tickets in a backlog with owners, SLAs, verification criteria, and link back to the postmortem artifact.
How do I handle legal or regulatory incidents?
Invoke legal hold, notify compliance, follow forensics procedures, and produce a controlled redacted public summary when allowed.
How do I balance postmortem depth versus timeliness?
Draft a concise initial postmortem quickly and iterate with deeper analysis as evidence becomes available.
How do I ensure postmortem actions are implemented?
Make action item ownership explicit, schedule reviews in ops cadence, and require verification evidence before closure.
How do I share postmortems across teams without oversharing?
Publish summaries for broad audiences and restrict raw artifacts; use access-controlled repositories for full details.
How do I scale postmortems for many teams?
Standardize templates, automate skeletons, and train owners; triage incidents to lightweight or full postmortem tracks.
How do I measure impact on reliability from postmortems?
Track repeat incident rate, SLO improvements, and action item closure correlation with incident frequency.
Conclusion
Postmortems are essential, evidence-driven artifacts that convert incidents into learning and durable system improvements. When done correctly, they reduce recurrence, protect customer trust, and improve engineering efficiency.
Next 7 days plan:
- Day 1: Define incident severity levels and postmortem policy.
- Day 2: Ensure observability baseline on critical services and add correlation IDs.
- Day 3: Create a postmortem template and an incident checklist.
- Day 4: Configure alerting escalation and binding postmortem triggers.
- Day 5: Run a tabletop or game day to exercise the postmortem flow.
Appendix — postmortem Keyword Cluster (SEO)
Primary keywords:
- postmortem
- incident postmortem
- postmortem report
- postmortem template
- postmortem process
- incident analysis
- postmortem example
- postmortem checklist
- blameless postmortem
- postmortem best practices
Related terminology:
- incident review
- root cause analysis
- RCA techniques
- timeline reconstruction
- incident timeline
- evidence retention
- correlation ID
- observability strategy
- SLO postmortem
- SLI measurement
- error budget postmortem
- incident commander role
- runbook creation
- playbook vs runbook
- postmortem automation
- incident management integration
- postmortem action items
- verification criteria
- incident legal hold
- postmortem redaction
- postmortem owner
- postmortem backlog
- postmortem cadence
- postmortem SLA
- postmortem executive summary
- postmortem template example
- postmortem timeline example
- blameless culture postmortem
- observability coverage postmortem
- tracing for postmortem
- logging for postmortem
- metrics for postmortem
- postmortem in SRE
- postmortem vs retrospective
- postmortem vs RCA
- post-incident review template
- incident response postmortem
- postmortem tools
- incident evidence snapshot
- postmortem workflow
- postmortem checklist kubernetes
- postmortem checklist serverless
- postmortem case study
- postmortem sample report
- automated postmortem
- postmortem telemetry
- postmortem timeline reconstruction
- postmortem verification steps
- postmortem action tracking
- postmortem training
- postmortem governance
- incident postmortem policy
- postmortem ticketing workflow
- postmortem metrics
- postmortem KPIs
- postmortem playbook
- postmortem for security incident
- postmortem for data incident
- postmortem for outage
- postmortem template github
- postmortem communication plan
- postmortem confidentiality
- public postmortem
- redacted postmortem
- postmortem compliance
- postmortem audit trail
- postmortem for CICD failure
- postmortem for db failover
- postmortem for latency spike
- postmortem for cost spike
- postmortem for autoscaling failure
- postmortem for feature flag rollout
- postmortem for third-party outage
- postmortem for API gateway failures
- postmortem for security breach
- postmortem improvement loop
- postmortem action closure
- postmortem verification checklist
- postmortem ownership model
- postmortem maturity model
- postmortem best practices 2026
- cloud native postmortem
- k8s postmortem guide
- serverless postmortem guide
- SLO driven postmortem
- postmortem telemetry stitching
- postmortem NTP synchronization
- postmortem correlation headers
- postmortem retention policy
- postmortem sample timeline
- postmortem template SRE
- postmortem incident triage
- postmortem severity levels
- postmortem pager duty integration
- postmortem observability gaps
- postmortem action prioritization
- postmortem closed loop
- postmortem continuous verification
- postmortem automation scripts
- postmortem skeleton generation
- postmortem evidence preservation
- postmortem forensic workflow
- postmortem cost performance analysis
- postmortem game day
- postmortem chaos engineering
- postmortem verification playbook
- postmortem SLA alignment
- postmortem for microservices
- postmortem for monolith
- postmortem toolchain
- postmortem security considerations
- postmortem communication template
- postmortem executive one-liner
- postmortem severity escalation
- postmortem analysis framework
- postmortem root cause taxonomy
- runbook update postmortem
- postmortem action audit
- postmortem knowledge base
- postmortem learning repository
- postmortem ownership best practices
- postmortem follow-up meeting
- postmortem report checklist
- postmortem incident template 2026
- postmortem case studies 2026
- postmortem for SaaS
- postmortem for IaaS
- postmortem for PaaS
- postmortem for managed services
- postmortem release process
- postmortem deploy metadata
- postmortem feature flagging incident
- postmortem data pipeline incident
- postmortem DB incident checklist
- postmortem notification plan