It turned in the channel using the main engine and two tugs which remained with the ship until it was about to enter the narrow entrance channel, at which point they were released to return to their berths.
However, a malfunctioning valve caused the engine cooling water to rise above normal temperature.
The engine room crew did not alert the bridge to the problem, but instead attempted to fix the problem.
As the vessel's engine shut down, the stuck rudder grounded on the eastern shore of Cutter Channel.
The commission found the grounding could have been prevented through better knowledge of the engine systems, better communication between the bridge and engine room crew, and if the bridge crew had informed the harbour pilot of the escalating problem.
It made several recommendations about safety and communication procedures onboard vessels.
The report also suggested a national system for tug escorts was developed to allow port authority staff access to new and previous information on vessel and crew performance in the interests of preventing similar incidents.