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Accessible PDF

Introduction

Adobe Acrobat Pro DC has tools the creator can use to make the files they create more accessible. This tutorial will walk users with Adobe Acrobat Pro DC through the use of these features.

Please note that Adobe Reader and Adobe Acrobat Standard cannot be used to make PDFs accessible; if you do not have Adobe Acrobat Pro DC, CommonLook PDF, or a similar piece of software, you may not be able to create more accessible PDFs.

We encourage instructors to post digital content, including syllabi, in native creation formats like Microsoft Word, PowerPoint, and Excel when possible. Consider these heuristics when making digital content decisions for your courses: 

  • Cost: Microsoft Office is free to all MSU faculty, staff, and students through the Spartan 365 website.
  • Value: Spartan 365 products are centrally supported for you and your students 24/7 by the MSU IT Help desk. Email ithelp@msu.edu or call (517) 432.6200 for more information. 
  • Accessibility: Converting Word to PDF can cause accessibility issues for students, even if your original document is accessible. Native documents from Microsoft are preferred for accessibility and are easier to edit and update later. 
  • Security: Spartan 365 versions your documents, allowing you to mark your documents as final, and see when changes have been made without your permission. 

PDF Accessibility Checklist

OCRing a Scanned Document

Acrobat’s Optical Character Recognition (OCR) tool can be used to create an accessible PDF document from a scanned page. The OCR tool converts the scanned text to actual text. A PDF document that contains actual text (i.e. text that can be highlighted and copy and pasted), as opposed to an image of text, is recognizable by the assistive technologies that readers may rely on to read through a document.

How to OCR a scanned document

To run the OCR tool, first open a scanned document in Adobe Acrobat Pro DC.

  1. To start the OCR tool, click on the "Tools" tab from the Home toolbar then located and select the "Enhance Scans"

    Enhance Scans Icon in PDF document with drop down menu option.

  2. From the “Enhance Scans” menu, located below the Home toolbar, select the "Recognize Text"option. 

    Enhance Scans menu at home toolbar. Recognize Text selected

  3. From the “Recognize Text” sub-menu select the "In This File" option to apply the OCR tool to the currently opened document in Adobe Acrobat, or alternatively select the "In Multiple Files..." to select additional files to be OCRed.

    Drop down menu from Recognize Text. Select Multiple files option

  4. If the “In Multiple Files…” option is selected skip to Step b.
    1. Another toolbar will appear below the “Enhance Scans” toolbar allowing you to select the language and which pages you would like to OCR.Toolbar below Enhanced Scans. Recognize Text selected
      After selecting the preferred settings, press the "Recognize Text" button to initialize the OCR tool. This step completes OCR for a single file.
      To OCR Multiple Files, complete the following steps:
    2. After selecting the “In Multiple Files…” option, a prompt box will appear which lists the current list of files set to be OCRed. To add more files to the list, select the "Add Files…"  option located in the upper left hand area of the prompt box. Next select either the "Add"
      Recognize Text window. Add files drop down menu selected
      "Files…", "Add Folders…" or "Add Open Files…" option.
    3. Each option brings up a browse menu which allows you to choose the file or folder you wish to OCR.
    4. After selecting the target files. An Output Options menu will appear to allow the user to select a target folder for the documents and change the output names of the documents.
    5. Next, choose the language of the document, then change the output to "Editable Text and Images" to allow future changes if necessary. This step completes OCRing multiple files.
      Recognize Text window. General settings. Drop down menu options displaying, doc language, Output, Downsample To
      Note: After completing the OCRing multiple files step, the other documents that were OCRed will not open another Adobe Acrobat window or display the OCRed pages. However, when the user opens the additional files/folders that were OCRed, the text will be editable.

Editing Metadata of PDF

Setting PDF Title

The title of a PDF document identifies the content of the document. Title’s are very important because they distinguish documents from one another and say the focus of the document.

To set the title of a document:

Go to “File," then select “Properties," from the “Document Properties” prompt, you’ll be able to modify the Title, Author, Subject and Keywords of the document.

 Showing the title as the second field

Setting the language of the PDF

Adobe allows you to set the language for a PDF. Setting the language for a PDF communicates to the assistive technological devices which language the document is written in.

To set the language of a document:

Go to “File," then select “Properties," from the “Document Properties” prompt. Next click on the “Advanced” tab, to view/change the language optionsDocument properties window. Advanced tab selected.Change language option selected

PDF: Added Context

Added context is the use of descriptive titles, headers, and hyperlinks to describe content that allow users to navigate effectively through documents. For individuals who use assistive technology, links should convey clear information about the destination. Instead of leaving the URL or linking to text labeled “Click here,” include descriptive text around the link to explain the destination of the link.

Wrong:

For more information click here.

Correct:

For more information on web accessibility, visit MSU’s Webaccess webpage.

This is recommended for when designing a document to be printed out, such as a syllabus.

For more information please visit MSU’s web accessibility site at www.webaccess.msu.edu.

NOTE: To edit a PDF document, it is a requirement to use Adobe Acrobat Pro. NOT Acrobat Reader. Accessibility tools are only present in Acrobat Pro.

Due to copyright issues, you cannot alter the context of a document unless it is for educational purposes or with permission from the creator.

To enable Edit PDF, select “Tools,” located to the right of the Home tab. Under Create & Edit select “Add” or click and drag the Edit PDF icon to the right sidebar. Edit PDF should now be added as a shortcut.

How to programmatically set the title:

  1. Select "File" on the upper right corner.

    Home toolbar with home tab selected

  2. Select "Properties" from the drop-down list.

    File tab drop down menu from top home toolbar

  3. A pop-up box will appear. Towards the top of the box, there is a Title textbox. A simple, yet easily identified

How to edit a PDF document to create hyperlink text in Adobe Acrobat Pro:

  1. Select “Edit PDF” on the right-side tool bar.

    Adobe Acrobat edit PDF tool bar options

  2. In the Edit PDF navigation menu, select “Link.”

    Top home toolbar under Document tab. Drop down menu from Link section/icon

  3. A drop-down menu will appear, select “Add/Edit Web or Document Link.”

    Drop down menu from Link icon. Add/Edit Web or Document Link option selected

  4. Highlight the text that needs to be linked. A Create Link box will appear.

    Create link window

  5. Under “Link Type,” down arrow to Invisible Rectangle.

    Create link window. Link Type drop down menu selected. Invisible Rectangle option selected

  6. Under Link Action, select the appropriate action for the link destination. REMINDER: In this example, it will Open a web page.

    Create link window with Link Type set as Invisible. Highlight Style set as Invert

  7. Select “Next.”

    Create link window. Next button highlighted

  8. An Edit URL text box will appear.

    Edit URL window. Text bar option to enter URL for link

  9. Type in the URL for the link’s destination.

    Edit URL window. Example URL set as https://webaccess.msu.edu/

  10.  Select “OK.”

    Edit URL window. Ok selected to save

  11. A blue box will appear around the text that is linked.
    Top home toolbar under Document tab. Highlighted text from doc displaying Webaccess Web page
  12. Close out (X) of the Edit PDF sidebar once finished.
    Format side bar. X highlighted to exit

How to change hyperlink text color in Adobe Acrobat Pro:

REMINDER: Use the Text and Contrast Tutorial to check that text and contrast pass accessibility standards.

  1. Select “Edit PDF” on the right side tool bar.

    Edit PDF right side tool bar. Edit PDF option highlighted

  2. Highlight the text in the document to change the text color.

    Highlighted text in doc displaying For more information on web accessibility, visit MSU's Webaccess web page

  3. On the right side is a Format sidebar.

    Format side bar. X highlighted to exit

  4. Select the font colored square.

    Format side bar. Coloring changing option selected

  5. A drop down of colors will appear. Select “Other Color.”

    Drop down menu from coloring changing options. Other color option selection

  6. A Color panel will appear. Choose a color for the hyperlink.

    Color window with option to drag arrow over customized color

  7. Close out (X) of the Color panel once finished.

    X highlighted to close and save changes

  8. The hyperlink text should have changed.

    Example of hyperlinked text color changed in document

  9. Close out (X) of the Edit PDF sidebar once finished.

    X highlighted to close and save changes from Format side bar

PDF: Alternative Text

Alternative (alt) text helps individuals that are unable to view and read a screen on their own. Individuals may rely on assistive technology, such as screen readers to communicate the provided content. Alt text is text that describes visual images or objects within the context that they appear. Decorative images are images that provide no information and are used for purely aesthetic purposes. Decorative images do not need alt text.

When writing alt text, it is important to remember that users will not see your information, they will hear it. Alt text should provide the same information as someone who can visually see the image. Assistive technology will inform the user that the object is an image, so you do not need to state in the alt text that it is an image, simply describe the image as you would describe it over the phone to someone. For charts, you should describe the type of chart, and consider defining the axes, and the general trend of the graph. For example, “A line graph of temperature by week.” If the goal of an assignment is to determine the general trend, consider defining a small subset of data points that allows users to determine trend, or also providing a table.

Visual content that requires alt text:

  • Pictures
  • Clip art
  • Charts
  • Tables
  • Graphics

NOTE: To edit a PDF document, it is a requirement to use Adobe Acrobat Pro. NOT Acrobat Reader. Accessibility tools are only present in Acrobat Pro.

To enable Accessibility tools, select “Tools,” located to the right of the Home tab. Scroll down to Protect & Standardize. Select “Add” or click and drag the Accessibility icon to the right sidebar. Accessibility tools should now be added as a shortcut.

How to add Alternative Text to an image in a PDF document using Adobe Acrobat Pro:

  1. Select the “Accessibility” icon to use the accessibility tools.

    Adobe Acrobat edit. Accessibility option selected

  2. A list of accessibility tools will appear on the right sidebar.

    Accessibility tool bar on right side

  3. REMINDER: Remember to tag your image as a “Figure.” See PDF (PC): Heading Styles tutorial for instructions.

    Sparty Statue

  4. Right click on the image, select “Edit Alternative Text…”

    Drop down menu from right clicking image. Edit Alternative text selected

  5. An Alternative Text box will appear. Type a short description to explain the image or graphic.

    Alternative text window. Alternative text box with example text displaying Michigan State University Sparty Statue

  6. Select “OK” once finished.

    Alternative text window. Ok selected to save changesOR

  7. Select “Set Alternative Text” on the right sidebar.

    Accessibility tool bar. Set Alternate Text option selected

  8. A Set Alternative Text box will appear. This displays every tagged image in the document and its alternative text.

    Set Alternate Text window. Save & Close selected

  9. Type a short description to explain the image or graphic. Use the arrow keys to rotate between images.

    Set Alternate Text window. Example Alternate text displaying Michigan State University Statue

  10. Select “Save & Close” once finished.

    Set Alternate Text window. Save & Close selected

How to make an image accessible that is purely decorative:

  1. Select “Set Alternative Text” on the right sidebar.

    Set Alternate Text option from Accessibility tools bar

  2. A Set Alternative Text box will appear. Use the arrow keys to find the decorative image.

    Set Alternate Text window

  3. Check the “Decorative Figure” box. Assistive technology will ignore the image because it serves aesthetic purposes and does not provide information to the user.

    Set Alternate Text. Decorative figure check box highlighted

  4. Select “Save & Close” once finished.

    Set Alternate Text window. Save & Close selected

PDF: Heading Styles

Headings styles give the user an indication of where they are in the document when navigating through the content. When using assistive technology, headings are the main method of navigation. It is important to note that every document requires a title. By properly tagging a title as a Heading 1 element and headings as a Heading 2 element, and subheadings as a Heading 3, Heading 4, etc. element, an individual using a screen reader will better understand the hierarchy of information in the document. (Reminder: Heading style elements must go in order from H1 to H2 to H3 etc. Heading levels should not be skipped, and should be used hierarchically.)

NOTE: To edit a PDF document, it is a requirement to use Adobe Acrobat Pro. NOT Acrobat Reader. Accessibility tools are only present in Acrobat Pro.

To enable Accessibility tools, select “Tools,” located to the right of the Home tab. Scroll down to Protect & Standardize. Select “Add” or click and drag the Accessibility icon to the right sidebar. Accessibility tools should now be added as a shortcut.

How to designate Heading Styles in a PDF document using Adobe Acrobat Pro DC:

  1. Select the “Accessibility” icon to use the accessibility tools.

    Adobe Acrobat Accessibility tools. Edit PDF option selected

  2. On the bottom, select “Reading Order.”

    Reading order from Accessibility tools

  3. A Touch Up Reading Order panel will appear, check “Structure Types.”

    Touch up Reading Order window. Structure types box clicked

  4. Select “Clear Page Structure” to delete the system’s best guess on automated tagged elements. This will allow the ability to implement your own structure.

    Touch up Reading Order window. Clear Page Structure button at the bottom of window selected

  5. Click and drag over the title, select “Heading 1” on the Touch Up Reading Order Panel.

    Heading 1 selected from Touch Up Reading Order window

  6. For headings, click and drag over the heading, select “Heading 2” on the Touch Up Reading Order panel.

    Text displaying Inclusion and Disability at MSU highlighted. Set as Heading 2

  7. For subheadings, click and drag over the subheading, select “Heading 3” on the Touch Up Reading Order Panel.

    Text in document set as Heading 3

  8. For text, click and drag over the text, select” Text” on the Touch Up Reading Order panel.

    Text in document set as Text

  9. Continue the pattern throughout the document.

    Text set as various Heading settings

  10. For images, click and drag over the image, select “Figure.”

    Sparty Statue set as figure

  11. For tables, click and drag over the table, select “Table.”

    Sparty Statue set as figure

  12. Select “Close” once finished.

    Close selected from Touch Up Reading Order

How to remove a current Heading Style in a PDF document using Adobe Acrobat Pro DC:

  1. Click and drag over the text where you want to remove the current tagged element.

    Highlighted reading order in PDF document

  2. Select “Background” on the Touch Up Reading Order panel. This will remove the grey box around the area of text.

    Background selected from Touch Up Reading Order window

  3. Re-designate the text to a new Heading Style.

    Highlighted text in document with reading orders applied

  4. “Close” once finished.

    Touch Up Reading Order window. Close selected to save

PDF: How to Save PDF

It is important to save a PDF’s document title to match the title of the document. This will allow individuals who use assistive technology to properly identify the document that they are looking at.

How to add a Document Title to a PDF:

  1. Go to File, select “Properties.”

    File tab drop down menu from top home toolbar. Properties selected

  2. A Document Properties box will appear.

    Document properties window. Description tab selected

  3. In the Description tab, under title, write the Title of the document.

    Document Properties window. Title box with example text displaying

  4. In the Initial View tab, under show, arrow down to Document Title.

    Document properties window. Show drop down with Document title selected menu under Initial view tab

  5. Select “OK.”

    Document properties window. Ok selected to save changes

PDF: Reading Order

The reading order is the order in which headings style elements on a page are read by assistive technology. Reading order is programmatic and should generally be read top, down, left, right for English text/diagrams.

NOTE: To edit a PDF document, it is a requirement to use Adobe Acrobat Pro. NOT Acrobat Reader. Accessibility tools are only present in Acrobat Pro.

To enable Accessibility tools, select “Tools,” located to the right of the Home tab. Scroll down to Protect & Standardize. Select “Add” or click and drag the Accessibility icon to the right sidebar. Accessibility tools should now be added as a shortcut.

 

How to edit and change the reading order in a PDF document using Adobe Acrobat Pro DC:

  1. Select the “Accessibility” icon to use the accessibility tools.

    Adobe Acrobat Accessibility tools. Accessibility highlighted

  2. On the bottom, select “Reading Order.”

    Reading order from Accessibility tools

  3. A Touch Up Reading Order panel will appear, check Page Content Order. REMINDER: Reading Order should generally be completed after Heading Styles are established.

    Touch Up Reading Order window. Page content order box selected

  4. Select “Show Order Panel” on the Touch Up Reading Order panel.

    Touch Up Reading Order window. Show Order Panel button selected at bottom of window

  5. An Order panel will appear on the left. This shows the pages in a PDF document and the order that content is read, when using assistive technology.

    Reading Order panel side bar with current reading order of document

  6. To change the reading order, click and drag the item in the Order panel to the correct order.

    Highlighted reading order in PDF documentHighlighted reading order in PDF document

  7. Close out (X) of the Order sidebar once finished.

    Reading Order Panel side bar

  8. Select “Close” once finished.

    Touch Up Reading Order window. Close button selected

PDF: Tables

When creating tables be sure to use a simple table structure, with column and row header information. This will allow individuals with assistive technology to understand the information that the table is providing and keep track of their location in the table.

Tips to create accessible tables:

  • Include a title to describe what the table is representing
  • Include at least one header row
  • Do not leave blank rows or columns
  • Do not split cells or merge cells
  • Do not create nested tables
  • Include alternative text

Additional items to consider:

  • Color contrast
  • If you have a table that has been embedded as an image, it is suggested to recreate the table in PowerPoint. This will allow an individual with assistive technology to navigate through the table, cell by cell. Also, it is more difficult to add alternative text to a table as an image, since it can get lengthy and provide an inaccurate representation of the data.
  • Do not make the table too large. Complex tables can be difficult for readers to follow and comprehend, especially for individuals with assistive technology who have to remember headers.

NOTE: To edit a PDF document, it is a requirement to use Adobe Acrobat Pro. NOT Acrobat Reader. Accessibility tools are only present in Acrobat Pro.

Due to copyright issues, you cannot alter the context of a document unless it is for educational purposes or with permission from the creator.

To enable Edit PDF, select “Tools,” located to the right of the Home tab. Under Create & Edit select “Add” or click and drag the Edit PDF icon to the right sidebar. Edit PDF should now be added as a shortcut.

How to add table structure to a table in Adobe Acrobat Pro:

REMINDER: The table must be tagged as a table first. Go to Heading Styles (PC)  tutorial to learn how to tag a table as a table.

  1. Select the “Accessibility” icon to use the accessibility tools.

    Adobe Acrobat Accessibility tools. Accessibility highlighted

  2. On the bottom, select “Reading Order.”

    Reading order from Accessibility tools

  3. Select the table, select “Table Editor” on the Touch Up Reading Order Panel or right click on table, select “Table Editor.”

    Touch Up Reading Order window. Table Editor option selected

  4. The table cells will be highlighted. Select a cell, right click, select “Table Properties”. NOTE: Can select multiple rows using the shift button.

    Drop down menu from right clicking on Table. Table cell properties option selected

  5. A Table Cell Properties panel will appear.

    Table Cell Properties window. Header Cell option checked

  6. Assign the cell to a data cell or a header cell. For header cells, define a scope to dictate which cells the header is. For example: column, row or both.

    Table Cell Properties window. Scope drop down menu selected

  7. Go through the table and assign each cell a header or data cell.

    Table Cell Properties window. Type section. Data Cell option checked

  8. Select “OK” once finished.

    Table Cell Properties window. Ok selected to save changes

  9. “Close” once finished.

    Touch Up Reading Order window. Close selected to save

How to know which cell is a header cell or a data cell in Adobe Acrobat Pro:

  1. In the Table Editor, right click on the table, select “Table Editor Options.”

    Drop down menu from right clicking on Table. Table Editor Options selected

  2. Check “Show Cell Type.” TH(heading cell) or TD(data cell).

    Table Editor Options window. Show cell type (TH or TD) option marked

  3. Select “OK” once finished.

    Table Editor Options window. Ok selected to save

If you have a complex data table, we recommend adding a table summary. Table summaries act similarly to alt text. It briefly describes the table within the context that it appears.

How to add a table summary to a table in Adobe Acrobat Pro:

  1. Select the table, select “Edit Table Summary.”

    Drop down menu from right clicking Table. Edit Table Summary option selected

  2. A Table Summary panel will appear. Write a brief description describing the table.

    Drop down menu from right clicking Table. Edit Table Summary option selected

  3. Select “OK” once finished.

    Table Summary window. Ok selected to save

  4. Select “Close” once finished.

    Touch Up Reading Order window. Close selected to save

PDF: Text and Contrast 

Color is an effective way to incorporate design aspects into your documents. However, it is important to make sure that font and images have a strong contrast against the background. This helps visually impaired users to read and understand the content.

WCAG requires a contrast ratio of 4.5:1 or above for normal text and 3:1 or above for large text. Large text is defined as 14 point and bold text or 18 point text or larger.

Things to avoid:

  • Decorative fonts
  • Using italics
  • Capital letters

NOTE: To edit a PDF document, it is a requirement to use Adobe Acrobat Pro. NOT Acrobat Reader. Accessibility tools are only present in Acrobat Pro.

Due to copyright issues, you cannot alter the context of a document unless it is for educational purposes or with permission from the creator.

To enable Edit PDF, select “Tools,” located to the right of the Home tab. Under Create & Edit select “Add” or click and drag the Edit PDF icon to the right sidebar. Edit PDF should now be added as a shortcut.

Edit PDF will display the hex color of text.

  1. Select “Edit PDF” on the right-side tool bar.

    Adobe Acrobat Accessibility tools. Edit PDF option selected

  2. Under Format on the right side, select the font colored square.

    Format option on right side. Font coloring square selected

  3. A drop down of colors will appear. Select “Other Color.”

    Drop down menu of colors from color square

  4. A Color panel will appear. Copy and paste the RGB into the resources below to check for color contrast.

    Color window with custom color options

PDF: Text Styles

Text styles is the use of using more than color to denote the differences between content and the rest of the document. Meaning can not be denoted by color alone. A way around this would be to include text and color, shape and color, or bold and underlined and color. This will allow a visually impaired individual to identify the differences between content meaning.

Wrong:

Turn in your final exam by Friday at 5:00pm(In this example Friday at 5:00pm is colored red for emphasis)

Correct:

Turn in your final exam by Friday at 5:00pm(In this example Friday at 5:00pm is bold)

Wrong:

Bar graph labeled Number of Sales a Week. Three groups labeled by weeks. Two bars in each group. Not labeled with exact values

Correct:

Bar graph labeled Number of Sales a Week. Three groups labeled by weeks. Two bars in each group. Labeled with exact values

NOTE: To edit a PDF document, it is a requirement to use Adobe Acrobat Pro. NOT Acrobat Reader. Accessibility tools are only present in Acrobat Pro.

Due to copyright issues, you cannot alter the context of a document unless it is for educational purposes.

To enable Edit PDF, select “Tools,” located to the right of the Home tab. Under Create & Edit select “Add” or click and drag the Edit PDF icon to the right sidebar. Edit PDF should now be added as a shortcut.

 

How to add bold and underline to text in a PDF document in Adobe Acrobat Pro:

  1. Select “Edit PDF” on the right-side tool bar.

    Adobe Acrobat Accessibility tools. Edit PDF option selected

  2. Highlight the text.

    Highlighted text in PDF document reading Webaccess web page

  3. On the right side is a Format sidebar, select the T that is bolded and the T with an underline.

    Format sidebar. Bolded T and underlined T selected

  4. The text should be bolded with an underline.

    Bolded and Underline text in PDF document reading Webaccess web page

  5. Close out (X) of the Edit PDF sidebar once finished.

    X highlighted in Format sidebar to close and save changes

Adding text styles to a graph in Adobe Acrobat Pro:

REMINDER: Change the pattern fill in a chart before adding it to the document.

  1. Replace the current graph with a graph that has text styles. Delete the old graph and add the new graph as an image.
    1. Select “Edit PDF” on the right-side tool bar.

      Adobe Acrobat Accessibility tools. Edit PDF option selected

    2. Select the graph.

      Bar graph and Format sidebar on right side

    3. Delete the graph.

      Deleted bar graph. Format sidebar open on right

    4. and save the new graph with text styles to your desktop. In the Edit PDF navigation menu, select “Add Image.”

      Top home toolbar under Document tab. Add Image icon selected

    5. Choose the correct image, select “Open.”

      Main window. Open files button selected to choose image

    6. Place the image in the appropriate location.

      Imported bar graph labeled Number of Sales a Week

    7. Close out (X) of the Edit PDF sidebar once finished.

      X selected from format sidebar to close and save changes

    OR

  2. Add data labels to the graph by adding a textbox
    1. Select “Edit PDF” on the right-side tool bar.

      Adobe Acrobat Accessibility tools. edit PDF option selected

    2. In the Edit PDF navigation menu, select “Add Text.”

      Top home toolbar under Document tab. Add Text selected

    3. Click and drag text box over a bar, type in the appropriate information.

      Editing option of imported bar graph. Highlight around exact value above bar

    4. Continue for the rest of the graph.

      Imported bar graph labeled with exact values through out

    5. Close out (X) of the Edit PDF sidebar once finished.

      X selected from format sidebar to close and save changes

PDF: Accessibility Checker

Adobe Acrobat contains a built-in accessibility tool. This allows users to perform a double check on their document to ensure that they have included all basic accessibility practices in their document.

How to access the built-in accessibility checker:

  1. Navigate to the "tools" bar located in the top right corner.

    Top home toolbar. Tools section highlighted

  2. Scroll down to the bottom of the page and find the accessibility button, click on the "Add" button located underneath. 

    Highlight around Accessibility icon option with drop down menu

  3. At the bottom of the tools shortcut bar located on the right side of the page, the accessibility tool option will now be displayed on the bottom of the list.

    Adobe Acrobat Accessibility tools. Accessibility highlighted

  4. Click on the "Accessibility" button. Then select the "Full Check" option.

    Full check option from Accessibility tools selected

  5. A pop-up box will appear. In the bottom right hand corner select the "Start Checking" button. This will run the tool and identify any accessibility related errors that may still be left in the document.

    Accessibility Checker Options window. Start Checking button at bottom of window selected