This report from the Transport Accident Investigation Commission New Zealand features the investigation into how a 12,596gt passenger freight ferry failed to make a programmed course alteration while in automatic steering, during the approach to a narrow channel.
The report identifies a number of Human element related safety issues including: the adequacy of bridge resource management; the adequacy of training in the use of all integrated bridge systems; the adequacy of contingency planning for safety-critical situations on board; and the adequacy of procedures covering the dissemination of information from the International Maritime Organization.
