I'm a tedious broken record about this (among many other things) but if you haven't read this Richard Cook piece, I strongly recommend you stop reading this postmortem and go read Cook's piece first. It won't take you long. It's the single best piece of writing about this topic I have ever read and I think the piece of technical writing that has done the most to change my thinking:
You can literally check off the things from Cook's piece that apply directly here. Also: when I wrote this comment, most of the thread was about root-causing the DNS thing that happened, which I don't think is the big story behind this outage. (Cook rejects the whole idea of a "root cause", and I'm pretty sure he's dead on right about why.)
https://how.complexsystems.fail/
You can literally check off the things from Cook's piece that apply directly here. Also: when I wrote this comment, most of the thread was about root-causing the DNS thing that happened, which I don't think is the big story behind this outage. (Cook rejects the whole idea of a "root cause", and I'm pretty sure he's dead on right about why.)