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Making PDFs Accessible: A Comprehensive Guide

Learn how to create and improve PDF accessibility for users with disabilities. Covers screen readers, tags, reading order, and accessibility best practices.

Published January 26, 2026

Why PDF Accessibility Matters

Accessible PDFs ensure that everyone, including people with visual impairments, motor disabilities, or cognitive challenges, can access your documents. Accessibility is also often legally required for government and public organizations.

Key Accessibility Features

Document Structure (Tags)

Tagged PDFs include structural information that helps assistive technologies understand content:

  • Headings hierarchy (H1, H2, H3)
  • Paragraph markers
  • List structures
  • Table definitions
  • Image descriptions

Reading Order

Content must flow logically for screen readers. Complex layouts need proper reading order defined.

Alternative Text

Images need text descriptions that convey the same information visually presented.

Color Contrast

Text must have sufficient contrast against backgrounds for readability.

Creating Accessible PDFs

Start with Accessible Source Documents

The easiest path to accessible PDFs starts with properly structured source documents:

  1. Use heading styles - Don't just make text bigger
  2. Add alt text to images - In Word, right-click → Edit Alt Text
  3. Use real lists - Bullets and numbering, not manual formatting
  4. Create proper tables - With header rows defined
  5. Use meaningful link text - Not "click here"

When Converting to PDF

  • Export with "Create Tagged PDF" option
  • Preserve document structure
  • Include bookmarks for navigation

Improving Existing PDFs

Add OCR to Scanned Documents

Scanned PDFs are just images - screen readers can't read them. Use our OCR tool to add a searchable text layer.

Flatten Complex Elements

Sometimes flattening a PDF can help simplify complex layers that confuse screen readers.

Edit Document Properties

Use our Metadata Editor to:

  • Set a meaningful document title
  • Add document language
  • Include descriptive keywords

Accessibility Checklist

Essential Elements

  • ☐ Document has a title in properties
  • ☐ Language is specified
  • ☐ Content is tagged (structural tags)
  • ☐ Reading order is logical
  • ☐ All images have alt text
  • ☐ Color alone doesn't convey meaning
  • ☐ Links are descriptive
  • ☐ Tables have header rows

Enhanced Accessibility

  • ☐ Bookmarks for navigation
  • ☐ Table of contents for long documents
  • ☐ Consistent heading hierarchy
  • ☐ No security settings preventing accessibility

Testing Accessibility

Automated Checking

Use Adobe Acrobat's Accessibility Checker:

  1. Go to Tools → Accessibility
  2. Click "Full Check"
  3. Review and fix issues

Manual Testing

  • Navigate using keyboard only
  • Test with a screen reader
  • Check reading order makes sense
  • Verify images are described

Screen Reader Testing

Try reading the document with:

  • NVDA (free, Windows)
  • JAWS (Windows)
  • VoiceOver (Mac, iPhone)
  • TalkBack (Android)

Common Accessibility Issues

Scanned Documents

Problem: Text is actually an image, unreadable by screen readers.

Solution: Apply OCR processing to create a text layer.

Missing Alt Text

Problem: Images have no description for screen reader users.

Solution: Add alternative text in the source document before PDF creation.

Poor Color Contrast

Problem: Text is hard to read against the background.

Solution: Ensure contrast ratio of at least 4.5:1 for normal text.

Incorrect Reading Order

Problem: Content is read out of sequence.

Solution: Reorder content tags in the PDF or restructure the source document.

Accessibility Standards

WCAG 2.1

Web Content Accessibility Guidelines apply to PDFs:

  • Level A - Basic accessibility
  • Level AA - Standard compliance (most common requirement)
  • Level AAA - Highest accessibility

PDF/UA

ISO 14289-1 is the specific standard for accessible PDFs. Documents meeting PDF/UA are guaranteed accessible with proper assistive technology.

Section 508

US federal accessibility requirements mandate accessible documents for government agencies.

Conclusion

Making PDFs accessible benefits everyone and is often legally required. Start with well-structured source documents, use OCR for scanned content, and test with assistive technology. Our tools can help you manage metadata and simplify complex documents as part of your accessibility workflow.

Recommended Tools

Try these tools to accomplish the tasks mentioned in this guide:

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