Safe Reinforcement Learning from Human Feedback (RLHF) typically enforces safety through expected cost constraints, but the expectation captures only a single statistic of the cost distribution and fails to account for distributional uncertainty, particularly under heavy tails or rare catastrophic events. This limitation is problematic when robustness and risk sensitivity are critical. Stochastic dominance offers a principled alternative by comparing entire cost distributions rather than just their averages, enabling direct control over tail risks and potential out-of-distribution failures that expectation-based constraints may overlook. In this work, we propose Risk-sensitive Alignment via Dominance (RAD), a novel alignment framework that replaces scalar expected cost constraints with First-Order Stochastic Dominance (FSD) constraints. We operationalize this constraint by comparing the target policy's cost distribution to that of a reference policy within an Optimal Transport (OT) framework, using entropic regularization and Sinkhorn iterations to obtain a differentiable and computationally efficient objective for stable end-to-end optimization. Furthermore, we introduce quantile-weighted FSD constraints and show that weighted FSD universally controls a broad class of Spectral Risk Measures (SRMs), so that improvements under weighted dominance imply guaranteed improvements in the corresponding spectral risk. This provides a principled mechanism for tuning a model's risk profile via the quantile weighting function. Empirical results demonstrate that RAD improves harmlessness over baselines while remaining competitive in helpfulness, and exhibits greater robustness on out-of-distribution harmlessness evaluations.