nanog mailing list archives

Re: Never push the Big Red Button (New York City subway failure)


From: Warren Kumari <warren () kumari net>
Date: Wed, 15 Sep 2021 15:31:01 -0400

On Wed, Sep 15, 2021 at 3:20 PM Fred Baker <fredbaker.ietf () gmail com> wrote:



On Sep 10, 2021, at 1:33 PM, Warren Kumari <warren () kumari net> wrote:

The utility let them know that they were going to be doing some
maintenance work in the area. No impact expected, but out of an abundance
of caution, they transfer over to generators. After the utility lets them
know that the maintenance work is all finished, they want to switch back.
If the generators are "emergency power", and you need to switch back to
"utility power", obviously the way to do this must be the big red button,
clearly marked as "EMERGENCY POWER OFF", no?!

One of the many stories that came out of 9/11 was a switching center in NY
City that had a diesel generator as a power backup - which of course acted
as primary when the city power is off. After a few days of operation, it
needed to be refueled, so a truck was sent in carrying gasoline. The
generator was refueled and restarted, and - oops - diesel != gasoline. So
then they needed to bring in a new generator.


Oooof. I've seen someone at a gas station do something similar -- I cannot
remember if it was putting diesel in their gasoline car, or gas in their
diesel pickup, but I *do* remember the sudden yelp and look of dismay when
they suddenly realized what they were doing. It must be really easy to get
wrong in a car (operating on autopilot), but that's a much less bad failure
than a generator...

Anyway, refueling generators reminds me of:
https://www.mail-archive.com/nanog () nanog org/msg111947.html

W



Yup, it happens, and it happened.



-- 
The computing scientist’s main challenge is not to get confused by the
complexities of his own making.
  -- E. W. Dijkstra

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