In this study, the authors hypothesize that safety-specific job engagement is important to prevent occupational near misses in high-risk occupations. The authors also hypothesize that safety program–focused justice perceptions and the absence of job distractions provide the workplace conditions necessary to support this engagement. Further, safety-specific job engagement mediates the prediction of occupational near misses by justice perceptions and job distractions. Results of a survey administered to 2,488 full-time employees working in the manufacturing, nuclear research and production, and mining industries provide support for the hypothesized relationships among the individual constructs and partial support for the mediation hypothesis. Through structural equation modeling, the authors found that safety-specific job engagement mediated the relationship between safety program–focused justice perceptions and near misses. Another finding was that the relationship among job distractions, safety-specific job engagement, and near misses is more complex, and a clear understanding of their relationship is subject to future investigation.