Fibre reinforced composites materials offer a pathway to produce passive shape adaptive smart marine propellers, which have improved performance characteristics over traditional metallic alloys. Automated fibre placement (AFP) technology can provide a leap forward in cyber-physical automated manufacturing, which is essential for the implementation and operation of smart factories in the marine propeller industry towards Industry 4.0 readiness. In this paper, a comprehensive structural health monitoring routine was performed on an AFP full-scale composite hydrofoil to gain confidence in its dynamic and structural performances through a number of active and passive sensors. The hydrofoil was subjected to constant amplitude flexural fatigue loading in a purpose-built test rig for 105 cycles. The hydrofoil was embedded with distributed optical fibre sensors, traditional electrical strain gauges and linear variable displacement transducers. Both microelectromechanical system and piezoelectric accelerometers were used to conduct experimental modal analyses to observe changes in the modal response of the hydrofoil at regular intervals throughout the fatigue program. The hydrofoils modal response, as well as the stiffness measured using both displacements and strains, remained unchanged over the fatigue loading regime demonstrating the structural integrity of the hydrofoil. The optical fibre sensors endured the fatigue test cycles showing their robustness under fatigue loads. Furthermore, the sensing systems demonstrated the potential of being utilised as a useful maintenance tool combining their adaptability with automated manufacturing during manufacturing through integration within the hydrofoil, a structural test framework for performance measurement, data acquisition and analytics for visualisation, and the prospect of decision making for maintenance requirement during any onset in structural performance.