The following are the most important things to look at when we are making PDF accessible.
Basic rules apply to make PDF Accessible
Document must have a title to identify it.
- Missing Title is the most common issue that most of the file has. Make sure to add the appropriate title of the file. Title can be the same as the header of the document.
- Steps to Apply Title:
- Click on File>Properties. The Document Properties window will pop up.
- Click on Description-> Enter Title
- Click on Initial View-> Set Show field to “Document Title”-> Hit Ok.


Texts in the document has to be readable and searchable
Try selecting text using mouse, or select all using Edit>Select All from Adobe Acrobat menu. If you are not able to select the text then it is an image file and not accessible. You will need to convert it into readable text.
- Steps to convert into Recognizable text
- Click on View>Tools>Scan & OCR.
- At the top of the screen you will see Recognize Text>Settings>All pages/Current Page>Searchable Image> OK.
- You will see the image is selectable.


Tab order must work
Color contrast ratio has to be high enough to make it readable.
Images have to have alt text.
Images with texts are not accessible.
Nested Headings
Read Out Loud
Several other Rules that we cannot check by looking at the document and performing any action.
Tagged Content
If you see a whole bunch of issues like the image below, that means the PDF has not been tagged. And all other issues are related to it such as Tagged Content Tab order, Nested Alt Text, etc. You will need to right click on “Tagged PDF” and click “Fix”. All issues will be resolved by itself.

One way to make sure your document is tagged:
Click on File>Properties>Description>Tagged PDF>Yes

Acrobat accessibility explains better ways to fix issues with steps and descriptions for all other issues.