In Re City of New York ( 2008 )


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  • 07-1251-cv
    In re City of New York
    UNITED STATES COURT OF APPEALS
    FOR THE SECOND CIRCUIT
    August Term, 2007
    Argued: January 23, 2008                                            Decided: March 27, 2008
    Docket No. 07-1251-cv
    ____________________
    In re: CITY OF NEW YORK, as owner and operator of the
    M/V ANDREW J. BARBERI,
    Petitioner-Appellant,
    —v.—
    SHIRAM AGNI, et al.,
    Respondent-Third-Party-Plaintiffs-Appellees,
    —v.—
    IRIS WEINSHALL, et al.,
    Third-Party-Defendants-Appellants.
    ____________________
    Before:
    SACK, KATZMANN , and RAGGI,
    Circuit Judges.
    Appeal from February 26, 2007 judgment following a bench trial on a stipulated record
    denying the City of New York’s petition for limitation of liability stemming from a crash involving
    the Staten Island Ferry (E.D.N.Y., Korman, J.). Because we conclude that the standard of reasonable
    care requires at least two crewmembers on watch in or near the pilothouse and that the City failed
    to enforce a policy that would meet this standard of care, the judgment of the district court is
    affirmed and the case is remanded.
    ____________________
    WAYNE D. MEEHAN (Gina Venezia, of counsel) Freehill
    Hogan & Mahar LLP, New York, New York, for
    Petitioner-Appellant.
    JAMES E. RYAN , Dougherty Ryan Giuffra Zambito &
    Hession, New York, NY (John J. Hession, Jeffrey S.
    Moller, Anthony Bisignano, of counsel), for Respondents-
    Third-Party-Plaintiffs-Appellees.
    ____________________
    KATZMANN , Circuit Judge:
    This case arises out of the Staten Island Ferry’s crash into a maintenance pier on October
    15, 2003. It calls on us to determine whether the City of New York’s practice of allowing the
    Staten Island Ferry to be operated with only a single pilot in the pilothouse necessarily meets the
    standard of reasonable care as a matter of law. The City, as owner and operator of the ferry,
    appeals from a decision of the district court for the Eastern District of New York (Korman, J.),
    rendered after a bench trial, finding the City negligent and denying limitation of liability. For the
    reasons stated below we affirm, holding that the City did not act with reasonable care when it
    allowed a single pilot to operate the Staten Island Ferry without at least one other person in or
    near the pilothouse, aware of the navigational circumstances, and ready to render or summon
    assistance in the event of an emergency.
    I
    The M/V Andrew J. Barberi was one of several large passenger ferries owned and
    operated by the New York City Department of Transportation between Whitehall Terminal at the
    southern tip of Manhattan and St. George Terminal, Staten Island. The ferry was 310 feet long
    -2-
    and displaced 2712 long tons.1 It could carry up to 6000 passengers, but on the day of the
    accident it was carrying an estimated 1500 people. The ferry’s typical speed at full ahead was 16
    knots (about 18 miles per hour) and sea trials revealed that it could come to a full stop from that
    speed in about 420 feet and within 43 seconds. The Barberi was a double-ended ferry with a
    pilothouse containing steering and throttle controls at each end. The ferry was equally suited to
    traveling in either direction, thus avoiding the need to turn around after leaving or before entering
    its slip.
    On October 15, 2003, at about 3:00 p.m., the Barberi left Manhattan on its regularly
    scheduled 22-minute trip across New York Harbor’s Upper Bay to Staten Island. Although it
    was windy (about 25 to 30 knots), the weather was clear and presented no problems for the ferry.
    The ferry was under the command of Captain Michael Gansas, but for this trip Assistant Captain
    Richard Smith was at the helm. In addition to being licensed captains, both the captain and
    assistant captain were certified as first-class pilots, as required by Coast Guard regulations. Both
    had more than a decade of experience with the Staten Island Ferry and had consistently received
    good performance reviews. Gansas, who had no reservations about Smith’s abilities to pilot the
    ferry, was not in the operative pilothouse for this trip; he spent the trip in the aft pilothouse
    preparing for an upcoming Coast Guard inspection. Smith was accompanied in the operative
    pilothouse by a deckhand, Joseph Selch, who was assigned as a lookout for the trip. Selch later
    told investigators that he noticed no problems with Smith and they had a normal conversation
    during the trip. Senior Mate Robert Rush was also in the pilothouse for the second half of the
    1
    One long ton equals 2240 pounds, so the ferry displaced 6,095,040 pounds or 3047 short
    (or U.S.) tons.
    -3-
    trip, but he had no assigned duties with respect to navigating the ship on this trip and was seated
    on the settee, a low-slung bench at the rear of the pilothouse, where he had no view of the
    navigational situation out the pilothouse windows.
    As the ferry reached the Kill Van Kull Buoy off the north end of Staten Island, about
    1000 yards (or half a mile) from the St. George Terminal, Smith released Selch from his lookout
    duties so that he could go assist in preparations for docking. As Selch left the pilothouse, Smith
    stood up at the controls, as was his custom. The ferry was traveling at its normal speed,
    approximately 14-16 knots, as it passed the buoy. At this speed, it would take about two minutes
    to reach the slip at St. George Terminal. On typical trips, the ferries would begin to slow down
    at the buoy, but on this trip the crew and passengers told investigators that they did not hear the
    engines slow down.
    Shortly after Selch left the pilothouse, Smith “lost conscious or situational awareness.”
    The ferry went off course and crashed at full speed into a concrete maintenance pier about 600
    yards south of the slip at the St. George Terminal. Smith remembers nothing from the time Selch
    left the pilothouse until the crash. Doctors later determined that his condition was caused by
    fatigue. Rush, who was still seated on the settee, recalled Smith standing up at the controls, but
    did not notice anything amiss until he felt the ship crash and then heard Smith exclaim, “Jesus.”
    The impact tore a 210-foot-long gash in the starboard side of the hull on the main-deck level and
    destroyed about 1500 square feet of the pier. Ten passengers were killed. Nineteen passengers
    were seriously injured, one of whom died two months later. Fifty-seven passengers suffered
    minor injuries.
    -4-
    Smith was 55 years old and was on several prescription medications for high blood
    pressure, high cholesterol, insomnia, and chronic back pain. On the day of the accident Smith
    reported to work exhausted. The day before he had been working around the house and
    babysitting for his grandchildren. His chronic back problems were causing him difficulty
    sleeping and during that night he took some prescription drugs for his back pain. At work the
    next morning, he failed to report his fatigue or any of his medical conditions or medications to
    Gansas (or anyone else), and, in fact, had previously falsely stated on a required Coast Guard
    form that he had no medical conditions and did not take any medication.
    On August 4, 2004, Smith pleaded guilty to eleven counts of seaman’s manslaughter in
    violation of 
    18 U.S.C. § 1115
    , for negligently causing the deaths of passengers, and to one count
    of making false statements to the Coast Guard in violation of 
    18 U.S.C. § 1001
    (a)(2). In his
    allocution, Smith admitted that he was criminally negligent in operating the ferry without
    reporting his poor physical condition and the medications that he had taken that morning. Smith
    was sentenced primarily to 18 months’ imprisonment.
    Patrick Ryan, the City’s director of ferry operations at the time, was also indicted on
    eleven counts of seaman’s manslaughter and several counts of making false statements and
    obstruction of justice. On April 25, 2005, he pleaded guilty to seaman’s manslaughter for
    allowing the ferries to be operated in a criminally negligent manner by not enforcing the City’s
    internal “two-pilot rule” that “generally required the captain and assistant captain to be together
    in the operating pilot house while the [ferry was] underway,” and to making false statements to
    the Coast Guard about his practices when he was a ferry captain. Ryan was sentenced to one year
    and one day in prison.
    -5-
    On December 1, 2003, the City initiated an action seeking to limit its liability as owner
    and operator of the ferry pursuant to the Limitation of Liability Act, 
    46 U.S.C. §§ 30505
    , 30511.
    All other actions were enjoined and over 175 claimants (including the appellees) asserted
    personal-injury and wrongful-death claims against the City in the limitation action. After the
    district court denied the claimants’ motion for summary judgment, the parties agreed that the
    limitation issue would be decided by Judge Korman based on a stipulated record and without a
    live trial.
    In a detailed opinion dated February 26, 2007, the district court denied the City’s petition
    to limit its liability. In re City of New York, 
    475 F. Supp. 2d 235
     (E.D.N.Y. 2007). The district
    court found that the cause of the accident was that the assistant captain, Smith, who was piloting
    the ferry, lost conscious or situational awareness in the brief period after he had released the
    lookout, but before docking the vessel, and that the accident could have been avoided if the
    captain, Gansas, had been present in the pilothouse with Smith. The district court also found that
    Ryan, the City’s director of ferry operations, was negligent for failing to enforce a two-pilot rule
    or otherwise to guard against the foreseeable risk of pilot incapacitation, and that his negligence
    was a substantial cause of the accident. The City was therefore not entitled to limit its liability
    because the negligent acts that caused the casualty were within the City’s privity or knowledge.
    This appeal followed.
    II
    It has long been the rule in this circuit that we review a district court’s factual findings for
    clear error, but we review its ultimate conclusion of negligence de novo. Payne v. United States,
    -6-
    
    359 F.3d 132
    , 134-35 (2d Cir. 2004); Ching Sheng Fishery Co. v. United States, 
    124 F.3d 152
    ,
    157-58 (2d Cir. 1997).
    A panel of this Court recently questioned our Circuit’s continued adherence to the de
    novo standard of review for questions of negligence in the face of nearly unanimous
    disagreement by the other circuits and commentators, all of whom would apply a more
    deferential standard. Payne, 
    359 F.3d at 135-36
    . But the panel in Payne declined to refer the
    issue to the Court en banc because the outcome of that case did not turn on the standard of
    review. 
    Id. at 135
    . Likewise in this case, because we would affirm the district court’s finding of
    negligence on either a de novo or clear error standard of review,2 we do not deem this case to be a
    suitable one to consider calling for en banc reconsideration.
    We note only that the practice in our Circuit is not so different from that of the other
    circuits. Because the determination of negligence is so bound up with the specific and complex
    facts of each individual case, we have stated on more than one occasion that “the trial court’s
    ‘finding should ordinarily stand unless the court manifests an incorrect conception of the
    applicable law.’” Esso Standard Oil S.A. v. S.S. Gasbras Sul, 
    387 F.2d 573
    , 580 (2d Cir. 1967)
    (quoting Radovich v. Cunard Steamship Co., 
    364 F.2d 149
    , 152 (2d Cir. 1966)); see also Cleary
    v. U.S. Lines Co., 
    411 F.2d 1009
    , 1010 (2d Cir. 1969) (per curiam). And even circuits that apply
    the clearly erroneous standard to negligence findings will apply a de novo standard when
    considering “whether the district court properly defined the standard of care used to evaluate the
    conduct of the parties.” In re Paducah Towing Co., 
    692 F.2d 412
    , 422 (6th Cir. 1982); see, e.g.,
    Clement v. United States, 
    980 F.2d 48
    , 53 (1st Cir. 1992) (noting in negligence case that de novo
    2
    Because we affirm the district court’s finding of negligence under the de novo standard,
    it follows a fortiori that we would affirm under the clear error standard.
    -7-
    review applies if district court applied erroneous legal standard to the facts); Miller v. United
    States, 
    587 F.2d 991
    , 994 (9th Cir. 1978) (“Our review of what standard of conduct should have
    been utilized in a negligence finding is a legal question.”). The ultimate determination of
    negligence is a question that contains both factual and legal aspects, see 9 Moore’s Federal
    Practice § 52.34(1)(a) (3d ed. 2007); although appellate courts may differ in their exact
    formulations, most appear to take an approach that gives more deference to the trial judge when
    the question is predominantly factual and less deference when the question is predominantly
    legal. Cf. United States v. Selioutsky, 
    409 F.3d 114
    , 119 (2d Cir. 2005) (“We review . . . mixed
    questions of law and fact either de novo or under the clearly erroneous standard depending on
    whether the question is predominantly legal or factual.” (internal citations omitted)).
    III
    The Limitation of Liability Act limits the owner of a vessel’s liability for, among other
    things, “any loss, damage, or injury by collision . . . done, occasioned, or incurred without the
    privity or knowledge of the owner,” to “the value of the vessel and pending freight.” 
    46 U.S.C. § 30505
    (b). The statute therefore alters the normal rules of vicarious liability. Instead of being
    vicariously liable for the full extent of any injuries caused by the negligence of the captain or
    crew employed to operate the ship, the owner’s liability is limited to the value of the ship unless
    the owner himself had “privity or knowledge” of the negligent acts. See, e.g., Carr v. PMS
    Fishing Corp., 
    191 F.3d 1
    , 4 (1st Cir. 1999); Tug Ocean Prince, Inc. v. United States, 
    584 F.2d 1151
    , 1155, 1159 (2d Cir. 1978). Where the owner of a ship is a corporation, the corporation is
    not entitled to limit its liability “where the negligence is that of an executive officer, manager or
    -8-
    superintendent whose scope of authority includes supervision over the phase of the business out
    of which the loss or injury occurred.” Coryell v. Phipps, 
    317 U.S. 406
    , 410 (1943). Thus the
    City is not entitled to limit its liability if Director of Ferry Operations Patrick Ryan’s admitted
    failure to enforce a “two-pilot rule,” requiring the captain and assistant captain to be in the
    operative pilothouse while the ship is underway, constituted negligence that was causally
    connected to the crash.
    Under admiralty law, the owner of a ship in navigable waters owes a duty to its
    passengers to exercise “reasonable care under the circumstances.” Kermarec v. Compagnie
    Generale Transatlantique, 
    358 U.S. 625
    , 632 (1959). The City argues that reasonable care does
    not require two pilots in the pilothouse at all times and therefore Ryan’s admitted failure to
    enforce a policy requiring two pilots was not negligent. Counsel for the claimants conceded at
    oral argument that reasonable care might not always require two pilots in the pilothouse, but the
    claimants nevertheless argue that the City was negligent here because it took no steps to mitigate
    the risk of sudden pilot incapacitation. Thus we must engage in the familiar common-law task of
    determining the standard of reasonable care under the circumstances of this case. As we explain
    below, we believe that strict enforcement of nothing less than a two-pilot rule, which essentially
    requires two licensed captains to be in the pilothouse at all times, would exceed the standard of
    reasonable care. But we find that the standard of care embodied in a Coast Guard regulation
    applicable to similarly sized ships carrying a similar number of passengers, which essentially
    calls for at least one person other than the pilot to be on watch in or near the pilothouse,
    accurately reflects the minimum safety precautions that the City must take under the
    circumstances of this case. Because Ryan failed to enforce not only a strict two-pilot rule but any
    -9-
    policy that would meet even this minimum applicable standard of care, we find that the
    negligence was within the privity or knowledge of the City.
    In determining what the standard of reasonable care requires, we are mindful of the
    formula first stated by Judge Learned Hand in United States v. Carroll Towing Co., 
    159 F.2d 169
    , 173 (2d Cir. 1947): whether the burden of adequate precautions (B) is less than the gravity
    of the injury (L) discounted by the probability that the injury will occur (P), i.e., whether B46 C.F.R. § 15.103
    , it does not specify where the crewmembers should be
    stationed or what their duties should be while the ship is underway. It is worth noting that the
    Staten Island Ferry had ample crew; Senior Mate Robert Rush was even able to ride out the
    second half of the trip on the settee without any assigned duties.
    -10-
    done at another time or by another employee—and by any displeasure felt by the City’s
    employees at the inconvenience of having to be present in the pilothouse at all times. On
    balance, the burden to the City of having a second person in or near the pilothouse at all times is
    relatively small.
    The probability that the injury would occur in this case—that the pilot would become
    suddenly incapacitated at a crucial moment and remain incapacitated long enough for the ship to
    crash into something—is very small. But the risk, while small, is undoubtedly foreseeable. The
    City freely admits that it was aware of the possibility that a pilot could become suddenly
    incapacitated, just as any reasonable person would be aware of that possibility. Nevertheless, the
    City submits that sudden incapacitation is a foreseeable risk that we accept all the time in myriad
    contexts without demanding stringent precautions. For example, every day millions of people
    drive cars without first ensuring that there is someone who will take the wheel if they are
    suddenly incapacitated. And the City points out that in other forms of mass transportation, such
    as buses and trains, we generally accept the risk that a driver could be suddenly incapacitated
    without ensuring that a second driver is waiting, ready at the controls to take over. Surely the
    risk of death is at least as great with a bus traveling at 70 miles per hour on a crowded highway
    as with a ferry traveling 18 miles per hour in a harbor. Yet we do not require two drivers on a
    bus.
    It is true that in many contexts we do not consider the risk of sudden incapacitation to be
    an unreasonable one. See, e.g., W. Page Keeton et al., Prosser and Keeton on Torts § 31 at 170
    (5th ed. 1984) (“No person so much as rides a horse without some chance of a runaway, or drives
    a car without the risk of a broken steering gear or a heart attack. But these are not unreasonable
    -11-
    risks.”). But whether the risk of sudden incapacitation is considered unreasonable depends very
    much on context. “For this reason, it is usually very difficult, and often simply not possible, to
    reduce negligence to any definite rules; it is ‘relative to the need and the occasion,’ and conduct
    which would be proper under some circumstances becomes negligence under others.” Keeton,
    supra, § 31 at 173 (quoting Babington v. Yellow Taxi Corp., 
    250 N.Y. 14
    , 18 (1928) (Cardozo,
    C.J.)).
    In short, our analysis under the Hand formula leads us to compare a relatively small
    burden of adequate precautions with a very small risk of great harm. These factors are, of course,
    difficult to quantify and weigh against one another. Judge Hand’s test is really more of an
    analytic framework than an actual formula into which we could plug rough numerical estimates
    of burdens and injuries, and our abstract comparison of the factors is inconclusive. Fortunately,
    we need not reason from a blank slate in applying the Hand formula; we can look to guideposts
    like industry custom and government regulations in determining the standard of care for a large
    ferry like the Barberi.
    Custom or standard practice in the industry is a useful measure in assessing the standard
    of care. See, e.g., In re Air Crash Disaster at John F. Kennedy Int’l Airport, 
    635 F.2d 67
    , 77 (2d
    Cir. 1980). Courts will not lightly presume an entire industry negligent. Spancrete Northeast,
    Inc. v. Occupational Safety & Health Review Comm’n, 
    905 F.2d 589
    , 594 (2d Cir. 1990). As
    Judge Hand explained, however, “in most cases reasonable prudence is in fact common
    prudence; but strictly it is never its measure; a whole calling may have unduly lagged in the
    adoption of new and available devices. . . . [T]here are precautions so imperative that even their
    universal disregard will not excuse their omission.” The T.J. Hooper, 
    60 F.2d 737
    , 740 (2d Cir.
    -12-
    1932). In The T.J. Hooper, the Court found that even though it was not general practice in the
    industry for tugs to carry radios capable of receiving weather reports, a tug that lost a barge to
    rough weather at sea without a functioning radio was negligent and unseaworthy. 
    Id.
    In this case, industry custom does not provide a ready answer. The City argues that
    standard practice in the industry is to operate ferries with only one pilot in the pilothouse when
    conditions permit and points to several examples of ferry operators both in and outside of New
    York (as well as other types of vessels operating in New York Harbor) who require only one
    licensed officer in the pilothouse at all times. The claimants, on the other hand, point to the
    Washington State Ferry System, the largest ferry operator in the United States, as an example of a
    ferry system that requires the presence of two qualified people in the pilothouse (a licensed deck
    officer and a quartermaster) at all times that the ferry is underway. We do not find either side’s
    argument on industry custom to be dispositive. None of the ferries identified by the City is truly
    comparable in size or passenger capacity to the Barberi. And while the precautions taken by the
    one ferry operator with ships comparable to the Staten Island Ferry may be prudent, these
    practices have not become universal enough to suggest an industry custom.
    Governmental safety regulations can also shed light on the appropriate standard of care.
    In fact, when a defendant has violated a safety regulation causing an injury, courts will find the
    defendant per se negligent, the theory being that the legislature or agency has already determined
    what precautions need to be taken. See Restatement (Third) of Torts: General Principles § 12
    (1999); Keeton et al., supra, § 36; see also Michelsen v. Penney, 
    135 F.2d 409
    , 419 (2d Cir.
    1943). Courts often will defer to the judgments of legislatures and agencies when they have
    spoken because they are institutionally better situated to set safety standards. These same
    -13-
    principles underlie many forms of judicial deference to agency action. Cf. United States v. Mead
    Corp., 
    533 U.S. 218
    , 228-29, 234-35 (2001); Auer v. Robbins, 
    519 U.S. 452
    , 461 (1997);
    Chevron U.S.A. v. Natural Res. Def. Council, Inc., 
    467 U.S. 837
     (1984); Skidmore v. Swift & Co.,
    
    323 U.S. 134
    , 139-40 (1944). As the Supreme Court has recently noted, federal agencies are
    often better positioned to set standards of care than are common-law courts. See Riegel v.
    Medtronic Inc., 
    128 S. Ct. 999
    , 1008, 1011 (2008) (noting that juries applying the common law
    lack the expertise of agencies and finding common-law-negligence claims challenging the safety
    of a medical device approved by the FDA preempted to the extent the claims were not based on a
    negligence per se theory stemming from violation of federal law).
    Keeping these principles in mind we look to the agency charged with establishing
    maritime safety regulations—the U.S. Coast Guard. 
    14 U.S.C. § 2
    . The Coast Guard has
    promulgated a pilothouse watch regulation providing that “[i]n addition to the licensed deck
    officer or pilot, there shall be at least one member of the crew on watch in or near the pilothouse
    at all times when the vessel is being navigated.” 
    46 C.F.R. § 78.30-5
    . This safety regulation
    applies to Subchapter H “passenger vessels,” that is, vessels of at least 100 gross tons that carry
    more than twelve passengers for hire. 
    46 C.F.R. § 70.05-1
    (a). As the Southern District of New
    York noted in an early case dealing with the predecessor of 
    46 C.F.R. § 78.30-5
    , one of the
    purposes of the pilothouse watch regulations is “to cover any emergency caused by the sudden
    disability of the pilot.” The Scandinavia, 
    11 F.2d 542
    , 545 (S.D.N.Y. 1918). While this may not
    be the only (or even the primary) purpose of the pilothouse watch regulation, the presence of an
    additional person attuned to the situation of the ship serves to reduce the risk of harm from
    sudden incapacitation.
    -14-
    This is not a case of negligence per se because the pilothouse watch regulation does not
    technically apply to the Staten Island Ferry: as a free ferry, it does not carry passengers for hire
    within the meaning of the regulation. The claimants’ own expert witness recognized as much,
    stating in his affidavit: “Admittedly this particular regulation may not have been technically
    enforceable with regard to the operation of the BARBERI because the passengers rode the ferry
    for free at the time and were therefore not technically ‘passengers for hire.’” Therefore, if the
    Staten Island Ferry’s practices did not comply with the pilothouse watch regulation, this failure
    would not constitute negligence per se. See, e.g., Salinero v. Pon, 
    177 Cal. Rptr. 204
    , 212 (Cal.
    Ct. App. 1981) (no negligence per se where statutory violation not established).
    But the content of the regulation can still be indicative of the degree of care that would be
    reasonable under the circumstances. See, e.g., Keeton et al, supra, § 36 at 231. While it may not
    technically apply to the ferry, the pilothouse watch regulation does apply to ships of the Barberi’s
    size engaged in similar operations. The distinction between paying and non-paying passengers
    on a municipal ferry has no rational connection to the safety precautions that are appropriate.
    Thus it is fair to say that the pilothouse watch regulation reflects the standard of care that the
    Coast Guard—the agency charged with regulating maritime safety, see 
    14 U.S.C. § 2
    —believes
    is appropriate for ferries of the Barberi’s size carrying the same number of passengers. While
    we, as a court exercising common-law judgment, may have difficulty drawing the line between
    small vessels that can safely be operated by a single person and large passenger vessels whose
    size and complexity require more than one person attuned to the navigational situation for safe
    operation, the Coast Guard has the resources and expertise to make such a determination.
    -15-
    The pilothouse watch regulation does not reflect the standard of care that the claimants
    urge us to adopt—it does not require two pilots to be in the pilothouse at all times while the ship
    is underway—but it does require that a second crewmember be “on watch in or near the
    pilothouse.” 
    46 C.F.R. § 78.30-5
    . We hold that the standard of care embodied in the pilothouse
    watch regulation requires that, in addition to the pilot, at least one other person in or near the
    pilothouse be paying attention to the navigational situation of the ship, thereby being ready to
    render or summon assistance in the event of an emergency such as the incapacitation of the pilot.
    Certainly compliance with the pilothouse watch regulation would not have imposed an undue
    burden on such a large and well-manned ship as the Barberi, and it would have reduced the
    chances of a devastating casualty in the event of an emergency like the sudden disability of the
    pilot. As the Coast Guard has determined that it is appropriate for ships of the Barberi’s size and
    passenger capacity to adopt such safety precautions, we hold that reasonable care would require
    the Staten Island Ferry to adopt them as well.
    IV
    It is clear from the district court’s factual findings that the Staten Island Ferry did not
    comply with the standard of care embodied in the pilothouse watch regulation. After Smith
    released his lookout, Deckhand Selch, to assist in the docking procedure, he was the only person
    in or near the pilothouse aware of the ferry’s navigational situation. True, Senior Mate Rush was
    present in the pilothouse seated on the settee, but the record does not support a finding that he
    was on watch. The district court found that Rush had no assigned duties in the pilothouse and
    was not involved in navigating the ship. From where he was seated, Rush had no view of the
    -16-
    ferry’s navigational situation and he noticed nothing amiss until after the crash. It is evident that
    no crewmember besides Smith was paying attention to the navigational situation because no one
    noticed that the ship was far off course until moments before the ferry crashed at full speed into
    the pier. Had a second person in or near the pilothouse been paying attention to navigational
    situation as the ferry passed the Kill Van Kull Buoy and failed to slow down, there may have
    been time to summon Gansas, revive Smith, or take other action to prevent or minimize damage
    before the allision.
    This negligence was within the privity or knowledge of the City. Patrick Ryan, the City’s
    director of ferry operations, stated in his plea allocution that the City’s written standard operating
    procedures for the Staten Island Ferry contained a “two-pilot rule” that generally required the
    captain and assistant captain to be together in the operative pilothouse while the ferry was
    underway.4 Ryan stated that the rule “served to insure passenger safety by providing for at least
    two people in the operating pilothouse aware of the navigational situation.” And Ryan admitted
    4
    The precise status and content of the City’s standard operating procedure are unclear and
    that lack of clarity as to content and processes precludes the kind of judicial deference that might
    otherwise obtain when an agency proceeds deliberatively, following established regulatory
    procedures. Rather than a concise manual, the standard operating procedures appear to have
    been a diffuse series of directives on practices and procedures assembled informally in a handout
    that was never properly distributed. Because the written version of the standard operating
    procedures that the City contends were in effect at the time of the accident (contained in an
    undated, eight-page document) was insufficiently authenticated, the district court found “only
    that there was an operative [standard operating procedure] that contained the two-pilot rule.”
    There is some ambiguity as to whether the two-pilot rule in the standard operating procedures
    required the captain and assistant captain to be together in the operative pilothouse at all times.
    Ryan stated in his allocution that two pilots were “generally” required—language that might
    admit of some exceptions—and the City points to language in the unauthenticated standard
    operating procedure suggesting that the captain had discretion to utilize the crew as he saw fit.
    But we see nothing in the record to suggest that the standard operating procedures sought to
    provide for anything less than two people aware of the navigational situation in or near the
    pilothouse—the minimum precautions reflected in the pilothouse watch regulation.
    -17-
    that this rule was not properly disseminated or enforced and he was aware that it was not being
    observed on all ships in good weather. While a two-pilot rule may have exceeded the standard of
    reasonable care, the City had no other policy in place to ensure that the standard of care
    embodied in the pilothouse watch regulation was being observed. The captain of the Barberi
    was under the impression that he had the discretion to leave the assistant captain alone in the
    pilothouse if, in his judgment, conditions permitted. The Coast Guard regulations put the City on
    notice of the practices that the Coast Guard believed were necessary for the safe operation of a
    ship of the Barberi’s size and passenger capacity. And yet the City failed to properly train its
    captains or enforce a policy that would ensure that at least two people in or near the pilothouse
    were aware of the navigational situation at all times.
    Because Ryan’s negligent failure to enforce an adequate policy was within the privity and
    knowledge of the City, the City is not entitled to limit its liability under 
    46 U.S.C. § 30505
    . The
    judgment of the district court is AFFIRMED and the case is REMANDED for further
    proceedings not inconsistent with this opinion.
    -18-