Common Accessibility Errors in PowerPoint

Creating accessible presentations in Microsoft PowerPoint is essential to ensure that all users—including those who rely on assistive technologies—can access and navigate your content. However, PowerPoint doesn’t automatically make presentations accessible, and it’s easy to overlook key elements that affect accessibility. This guide outlines some of the most common accessibility errors found in PowerPoint files and provides practical steps to fix them.


Missing Document Title

An accessible document should have a descriptive title (not just the file name). This helps screen reader users quickly identify the document’s purpose.

How to Add a Title:

  • Windows: Go to File > Info, then add a title in the Title field under Properties.
  • Mac: Go to File > Properties > Summary, then add a title in the Title field.
Screenshot of the File Info section with the Title field outlined in purple under the Properties heading
Adding the Document Title on Windows
Screenshot of the Document Properties dialog box with the Summary tab active and the Title field outlined in yellow.
Adding the Document Title on Mac

Missing Headings

Headings provide structure and help users navigate your document. Use PowerPoint’s built in title text boxes on each slide for your headings.

Important: PowerPoint allows only one heading per slide. Ensure each slide has a unique, descriptive title.

How to Apply Headings:

  • Use the default title text box—do not create your own.
  • If unsure, select a slide layout from the Home > Layout menu and enter your title in the designated title box.
Screenshot of a title slide layout with the title text box outlined in purple and the text click to add title inside.
Screenshot of a title only slide layout with the title text box outlined in purple and the text click to add title inside.
Screenshot of a title and two columns of content slide layout with the title text box outlined in purple and the text click to add title inside.
Screenshot of the Home ribbon with the Layout option selected and the different slide layout options displayed in a popup. The Layout option is outlined in yellow.

Improper List Formatting

Manually typing bullets or numbers doesn’t create accessible lists. Use built-in list features.

How to Format Lists:

  • Use the list buttons in the Home ribbon.
  • Only use lists for two or more related items.
Screenshot of the Home ribbon with the bulleted and numbered list formatting options outlined in yellow.

Empty Paragraphs used for Spacing

Pressing Enter to add space creates empty paragraph tags, which screen readers announce unnecessarily. Empty paragraphs between items in a list will cause each list item to be read as a separate list instead of a single continuous list.

How to Create Accessible Spacing:

  • Click on the Line Spacing icon in the Home ribbon.
  • Click on Line Spacing Options in the Line Spacing menu
  • Use the Before/After Spacing settings in the Indents and Spacing tab to create space between blocks of text.
Screenshot of the Home ribbon with the Line Spacing option selected and the Line Spacing menu open. The Line Spacing icon and the Line Spacing Options menu item are outlined in yellow.
Screenshot of the Line Spacing Options dialog box with Indents and Spacing tab selected and the Spacing before and after settings outlined in yellow.

Link text should clearly indicate the destination and be understandable without surrounding context.

Best Practices for Link Text:

  • Use descriptive link text such as the name of the destination website or page, not URLs (for example, use “East Carolina University website” instead of “https://ecu.edu”).
  • Avoid vague phrases like “click here” or “learn more.”
  • Links with identical text must lead to the same destination. If they do not, use distinct wording.
  • For image links, include a description of the destination in the alt text.

Images Missing Alternative Text

Alt text describes images for users of assistive technology.

Important/Descriptive Images:

  • Add alt text that conveys relevant details
  • If the image contains text, the alt text must contain the same text
  • If the image is a hyperlink, describe its destination in the alt text.

How to add Alt Text:

Right-click the image > View Alt Text… > enter description.

Tip: If you need assistance with writing alt text, ChatGPT is great at giving you a starting point.

Decorative Images:

  • Mark as decorative so screen readers can skip them.
  • Right-click the image > View Alt Text… > check “Mark as decorative”.
Screenshot of the alt text dialog box with the alt text field and the mark as decorative toggle outlined in yellow

QR Code Best Practices

Avoid using QR codes in digital documents, as they require a second device to scan. Instead, use clickable links for better accessibility and user experience.

If a QR code is necessary:

  • Add a hyperlink to the QR code image so users can click it directly. To add a hyperlink, right-click the image > Hyperlink > Web Page or File > enter the destination URL.
  • Include alt text that describes the link destination (e.g., “QR code linking to the East Carolina University website”).
Screenshot of the Insert Hyperlink dialog bo with the Web Page or File tab active and the Address field outlined in yellow

Insufficient Color Contrast

Text must have strong contrast with the background to be readable by all users.

How to Check Color Contrast:

  • Use Word’s Accessibility Checker for basic contrast issues.
  • For images or complex backgrounds, use tools like TPGi Color Contrast Analyzer (free download)
  • Ensure all color combinations meet WCAG Level AA standards.
A comparison of passing and failing color contrast. The button on the left has white text on a purple background with a passing contrast ratio of 13.09 to 1. The button on the right has white text on a gold background with a failing contrast ratio of 1.54 to 1.

Reading Order does not Match Visual Order

The reading order is the order in which assistive technology will read the elements in a document. Assistive tech reads based on the document’s tag order—not its appearance.

How to Check Reading Order on Windows:

  • Go to the Review ribbon and click on the Check Accessibility icon.
  • Choose the Reading Order Pane from the menu.
  • Click and drag the elements in the Reading Order Pane to be in the proper reading order.
    Note: The reading order is top to bottom—the first item in the list is read first.
Screenshot of the Review ribbon with the Check Accessibility icon selected and the Reading Order Pane option in the menu outlined in purple.
Screenshot of the Reading Order Pane containing a title and a subtitle. The title is the first element in the list, so it will be read first.

How to Check Reading Order on Mac:

  • Go to the Review ribbon and click on the Check Accessibility icon.
  • Choose the Selection Pane from the menu.
  • Click and drag the elements in the Selection Pane to be in the proper reading order.
    Note: The reading order is bottom to top—the last item in the list is read first.
Screenshot of the Review ribbon with the Check Accessibility icon selected and the Selection Pane option in the menu outlined in yellow.
Screenshot of the Selection Pane containing a title and a subtitle. The title is the last element in the list, so it will be read first.

Improper Table Formatting

Tables must be used only for data—not layout—and should follow accessibility best practices.

Best Practices for Tables:

  • Avoid merged cells.
  • Provide clear, descriptive header cells—no blanks.
  • Mark header cells correctly in Word
    • Select the table.
    • Go to Table Design ribbon.
    • Check Header Row and/or First Column, as appropriate.
  • Avoid empty cells; use “Not applicable” if needed to provide the most consistent experience for all users.
Screenshot of the Table Design ribbon with the Header Row and First Column checkboxes outlined in yellow

After Exporting to PDF:

Set header cell scope in Acrobat:

  • Open the Reading Order panel.Click the three dots > Show Reading Order Panel.
  • Click a table element on the page and click Table Editor in the Reading Order Panel.
  • Select header cells, right-click > Table Cell Properties, set Scope to “Column” or “Row” as appropriate.
Screenshot of the Reading Order panel dialog box in Adobe Acrobat with the Table Editor button outlined in purple.
Screenshot of the Table Cell Properties dialog in Adobe Acrobat with the Scope setting outlined in purple. The scope is set to Column.

How to Save an Accessible PDF from PowerPoint

  • Do not print to PDF to save your file!
  • Use File > Save As or File > Save a Copy
    • On PC, choose PDF from the file type dropdown, select “More options, select “Options”, select “Document Properties” and “Document structure tags for accessibility” checkboxes, and save the file
    • On Mac, choose PDF as the file format, select “Best for electronic distribution and accessibility”, and save the file
Screenshot of the save as dialog box on PC with the more options link outlined in purple
Save As dialog on PC
Screenshot of the More Options dialog box on PC with the Options button outlined in purple
More Options dialog on PC
Screenshot of the Options dialog box on PC with the Document Properties and Document structure tags for accessibility checkboxes outlined in purple.
Options dialog on PC
Screenshot of the save as dialog on Mac with the Best for electronic distribution and accessibility option outlined in yellow
Save As dialog on Mac