ABSTRACT The domestic ferry sector plays a significant role in transportation but faces complex challenges requiring a comprehensive examination within a sociotechnical systems framework. This study explores into the inherent paradoxes of the sector, analyzing the interplay between safety dynamics and operational exigencies. Through a systematic review across micro (firm/operations), meso (industry), and macro (national/global) levels, it uncovers a landscape where safety awareness competes with operational demands, creating a paradoxical coexistence. Micro-level challenges like poor enforcement and inadequate safety awareness lead to noncompliance and unsafe practices, as seen in incidents like the Eastern Star tragedy. Strategic planning is vital for long-term industry improvements, requiring policymakers to address regulatory complexities. Interconnected dynamics across meso and macro levels highlight the International Maritime Organization's role in shaping safety standards and policy evolution. Insights into transitioning to international safety standards highlight the need for attitudinal shifts aligned with proactive risk management. This research provides a holistic view of challenges (Themes A to C) and enablers (Themes D to F), traversing micro, meso, and macro levels. By advocating for cross-industry collaboration and emphasizing a more secure and sustainable future for the domestic ferry sector, contributes significantly to the enhancement of safety and sustainable operations.