The draft IMO MASS Code requires autonomous and remotely supervised maritime vessels to detect departures from their operational design domain, enter a predefined fallback that notifies the operator, permit immediate human override, and avoid changing the voyage plan without approval. Meeting these obligations in the alert-to-takeover gap calls for a short-horizon, human-overridable fallback maneuver. Classical maritime autonomy stacks struggle when the correct action depends on meaning (e.g., diver-down flag means people in the water, fire close by means hazard). We argue (i) that vision-language models (VLMs) provide semantic awareness for such out-of-distribution situations, and (ii) that a fast-slow anomaly pipeline with a short-horizon, human-overridable fallback maneuver makes this practical in the handover window. We introduce Semantic Lookout, a camera-only, candidate-constrained vision-language model (VLM) fallback maneuver selector that selects one cautious action (or station-keeping) from water-valid, world-anchored trajectories under continuous human authority. On 40 harbor scenes we measure per-call scene understanding and latency, alignment with human consensus (model majority-of-three voting), short-horizon risk-relief on fire hazard scenes, and an on-water alert->fallback maneuver->operator handover. Sub-10 s models retain most of the awareness of slower state-of-the-art models. The fallback maneuver selector outperforms geometry-only baselines and increases standoff distance on fire scenes. A field run verifies end-to-end operation. These results support VLMs as semantic fallback maneuver selectors compatible with the draft IMO MASS Code, within practical latency budgets, and motivate future work on domain-adapted, hybrid autonomy that pairs foundation-model semantics with multi-sensor bird's-eye-view perception and short-horizon replanning.