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Showing posts with the label disasters

Does This Sound Familiar?

I read the following in the 2009 book Streetlights and Shadows: Searching for the Keys to Adaptive Decision Making by Gary Klein. It reminded me of the myriad ways operational information technology and security processes fail. This is a long excerpt, but it is compelling. == Begin == A commercial airliner isn't supposed to run out of fuel at 41,000 feet. There are too many safeguards, too many redundant systems, too many regulations and checklists. So when that happened to Captain Bob Pearson on July 23, 1983, flying a twin-engine Boeing 767 from Ottawa to Edmonton with 61 passengers, he didn't have any standard flight procedures to fall back on. First the fuel pumps for the left engine quit. Pearson could work around that problem by turning off the pumps, figuring that gravity would feed the engine. The computer showed that he had plenty of fuel for the flight. Then the left engine itself quit. Down to one engine, Pearson made the obvious decision to divert fr...

Minneapolis Bridge Lessons for Digital Security

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The Minneapolis bridge collapse is a tragedy. I had two thoughts that related to security. If the bridge collapsed due to structural or design flaws, the proper response is to investigate the designers, contractors, inspectors, and maintenance personnel from a safety and negligence perspective. Based on the findings architectural and construction changes plus new safety operations might be applied in the future. This is a technical and operational response. If the bridge collapsed due to attack, the proper response is to investigate, apprehend, proseceute, and incarcerate the criminals. Redesigning bridges to withstand bomb attack is unlikely. This is a threat reduction and deterrence response. Do you agree with that assessment? If yes, why do you think response 1 (try to improve the "bridge" and similar operations) is the response to every digital security attack (i.e., case 2)? My short answer: everyone blames the victim, not the criminal. The NTSB is on scene in Min...

More Engineering Disasters

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I've written several times about engineering disasters here and elsewhere. Watching more man-made failures on The History Channel's "Engineering Disasters," I realized lessons learned the hard way by safety, mechanical, and structural engineers and operators can be applied to those practicing digital security. >In 1983, en route from Virginia to Massachusetts, the World War II-era bulk carrier SS Marine Electric sank in high seas. The almost forty year-old ship was ferrying 24,000 tons of coal and 34 Merchant Mariners, none of whom had survival suits to resist the February chill of the Atlantic. All but three died. The owner of the ship, Marine Transport Lines (MTL), blamed the crew and one of the survivors, Chief Mate Bob Cusick, for the disaster. Investigations of the wreck and a trial revealed the Marine Electric's coal hatch covers were in disrepair, as reported by Cusick prior to the disaster. Apparently the American Bureau of Shipping (ABS), an ins...

Nisley on Failure Analysis

Since I'm not a professional software developer, the only reason I pay attention to Dr. Dobb's Journal is Ed Nisley. I cited him earlier in Ed Nisley on Professional Engineering and Insights from Dr. Dobb's . The latest issue features Failure Analysis , Ed's look at NASA 's documentation on mission failures. Ed writes: [R]eviewing your projects to discover what you do worst can pay off, if only by discouraging dumb stunts. What works for you also works for organizations, although few such reviews make it to the outside world. NASA, however, has done a remarkable job of analyzing its failures in public documents that can help the rest of us improve our techniques. Documenting digital disasters has been a theme of this blog, although my request for readers to share their stories went largely unheeded. This is why I would like to see (and maybe create/lead) a National Digital Security Board . Here are a few excerpts from Ed's article. I'm not going to s...

Pandemic Reporting Like Digital Security Incident Reporting

The 12 August 2006 issue of the Economist featured the story Global Health: A Shot of Transparency (subscription required). It reminded me of the state of reporting digital security incidents. At the moment, the world's pandemic-alert system is distressingly secretive. Some countries, such as Vietnam, have been fairly open about new outbreaks of the sorts of infectious disease that might lead to pandemics, and have even invited foreigners in to help diagnose the problem. Most, however, have not been so forthright. Public-health experts point to China and Thailand, both of which suffered outbreaks of potential pandemic illnesses in the past few years (SARS in China and avian influenza in Thailand) as examples of places that do not fully disclose the relevant details... The reasons for countries' reluctance to share information are understandable, though hardly defensible. Some believe that full disclosure could cause locals to panic and foreign tourists to stay away... Larry ...

Disaster Stories Help Envisage Risks

The April 2006 issue of Information Security Magazine features an article titled Security Survivor All-Stars . It profiles people at five locations -- LexisNexis, U Cal-Berkeley, ChoicePoint, CardSystems, and Georgia Technology Authority -- who suffered recent and well-publicized intrusions. My guess is that InfoSecMag managed to arrange these interviews by putting a "happy face spin" on the story: "We know your organization was a security mess, but let's look on the bright side and call you an all-star!" Although the article is light on details, I recommend reading these disaster stories. They help make security incidents more real to management. ChoicePoint is one of the companies profiled. That story really bothers me. To know why, read The Five Most Shocking Things About the ChoicePoint Debacle and The Never-Ending ChoicePoint Story by Sarah D. Scalet. I noticed the InfoSecMag did not interview ChoicePoint chairman and CEO Derek V. Smith , author ...

Ed Nisley on Professional Engineering

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I get a free subscription to Dr. Dobb's Journal . The March 2006 issue features an article by Ed Nisley titled "Professionalism." Ed is a software developer with a degree in Electrical Engineering. After working at a computer manufacturer for ten years in New York state, he decided to become a "consulting engineer." Following the state's advice, Ed pursued a license to be a Professional Engineer. Now, 20 years after first earning his PE license, Ed declined to renew it. He says "the existing PE license structure has little relevance and poses considerable trouble for software developers." You have to register with DDJ to read the whole article, but the process is free and the article is worthwhile. Here are a few of Ed's reasons to no longer be a PE: "[T]o maintain my Professional Engineering license, I must travel to inconvenient places, take largely irrelevant courses, and pay a few kilobucks. As nearly as I can tell from the co...

Another Engineering Disaster

Does the following sound like any security project you may have worked? Executives decide to pursue a project with a timetable that is too aggressive, given the nature of the task. They appoint a manager with no technical or engineering experience to "lead" the project. He is a finance major who can neither create nor understand design documents. (This sounds like the news of MBA s being in vogue, as I reported earlier.) The project is hastily implemented using shoddy techniques and lowest-cost components. No serious testing is done. The only "testing" even tried does not stress the solution in any meaningful way -- it only "checks a box." Shortly after implementation, the solution shows signs of trouble. The project manager literally patches the holes and misdirects attention without addressing the underlying flaws. Catastrophe eventually ensues. What I've just described is the Boston Molasses Flood of 1919, best described by the Boston Society of ...

Engineering Disasters in Information Security Magazine

The December 2005 issue of Information Security magazine features an article I wrote titled History Lessons with the subtitle "Digital security could learn a lot from engineering's great disasters." It is based on this blog entry describing analog engineering disasters like the 1931 Yangze River damn failure, the 1944 Cleveland LNG tank fire, the 1981 Kansas City Hyatt Regency hotel walkway collapse, and the 1933 Atlanta Marriott parking lot sink hole. I am considering expanding this topic of digital security disasters to encompass a new book. I would like to take a historical and technical look at digital security failures on a case-by-case basis. Ideally the cases would be based on testimony from witnesses or participants wishing to (anonymously) share lessons with their colleagues. My concept is simple: when a bridge fails in the "analog" world, everyone knows about it. The disaster is visible, and engineers can analyze and learn from the event. The...

More on Engineering Disasters and Bird Flu

Here's another anecdote from the Engineering Disasters story I wrote about recently . In 1956 the cruise ship Andrea Doria was struck and sunk by the ocean liner Stockholm. At that time radar was still a fairly new innovation on sea vessels. Ship bridges were dimly lit, and the controls on radar systems were not illuminated. It is possible that the Stockholm radar operators misinterpreted the readings on their equipment, believing the Andrea Doria was 12 miles away when it was really 2 miles away. The ships literally turned towards one another on a collision course, based on faulty interpretation of radar contact in the dense fog. Catastrophe ensued. This disaster shows how humans can never be removed from the equation, and they are often at center stage when failures occur. The commentator on the show said a 10 cent ligh bulb illuminating the radar controls station could have shown the radar range was positioned in a setting different from that assumed by the operator. ...

Further Thoughts on Engineering Disasters

My TiVo managed to save a few more episodes of Modern Marvels . You may remember I discussed engineering disasters last month. This episode of the show of the same title took a broader look at the problem. Three experts provided comments that resonated with me. First, Dr. Roger McCarthy of Exponent, Inc. offered the following story about problems with the Hubble Space Telescope. When Hubble was built on earth, engineers did not sufficiently address issues with the weight of the lens on Earth and deflections caused by gravity. When Hubble was put in orbit, the lens no longer deflected and as a result it was not the proper shape. Engineers on Earth had never tested the lens because they could not figure out a way to do it. So, they launched and hoped for the best -- only to encounter a disaster that required a $50 million orbital repair mission. Dr. McCarthy's comment was "A single test is worth a thousand expert opinions." This is an example of management by fa...