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OT / ICS·Intermediate·Technical audience

A pasteuriser setpoint changes and nobody on shift did it

The prompt — read this to the room

At 02:15 the HMI at a regional dairy shows the pasteuriser hold-tube temperature setpoint has moved from 72.5°C to 68.0°C. Nobody on the night shift admits to changing it. The change log names the engineering workstation's shared login, and that workstation sits in a locked, empty office. The flow-diversion valve worked and no under-temperature milk left the line, but 9,000 litres are now held in a silo pending a decision. The morning tanker leaves at 06:00. Was this an attacker, a scheduled job or a mistake, and how do you find out without destroying the evidence?

Total duration
1 h 45 min
People to involve
6
Best fit
Manufacturing, Food

Who to involve

Most important first.

  • OT / plant engineer
  • Incident response lead
  • SOC analyst
  • IT operations
  • Physical security / facilities
  • CISO / Head of security

What it tests

  • Restore a known-safe process state without losing the evidence needed to explain the change.
  • Separate the three explanations (intrusion, automation, human error) using logs that actually exist.
  • Show which OT logs, project backups and access records the team can produce within an hour.
  • Decide on product release with food-safety and security evidence side by side.

Outline of activities

  1. 1The alarm: an unexplained setpoint change and product on hold
  2. 2Make it safe, then preserve: what to capture before anyone touches the PLC
  3. 3Three hypotheses tested against logs, badges and network data
  4. 4The product decision and who signs it
  5. 5Hardening the engineering workstation and change control

Run sheet (Pro)

The facilitator's timeline of execution, the detailed steps for running the session and the questions to ask each person.

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A pasteuriser setpoint changes and nobody on shift did it — Tabletop Exercise · PlayCISO