Common Accessibility Errors in Word

Creating accessible documents in Microsoft Word is essential to ensure that all users—including those who rely on assistive technologies—can access and navigate your content. However, Word doesn’t automatically make documents accessible, and it’s easy to overlook key elements that affect accessibility. This guide outlines some of the most common accessibility errors found in Word 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 Word’s built-in styles—not just bold or large text.

Best Practices for Headings:

  • Use headings as labels for sections (not for formatting).
  • Apply heading levels sequentially (e.g., H1 > H2 > H3).

Heading levels must be used sequentially to create a hierarchical structure for the information in your document.

Example Heading Structure:

  • H1: Document Title
    • H2: Section title
      • H3: Subsection Title
      • H3: Subsection Title
    • H2: Another Section Title

How to Apply Headings:

  1. Locate text that functions as a heading and select the text with your cursor.
  2. Open the Styles Pane in the Home ribbon.
  3. Determine the appropriate heading and locate the built-in style in the Styles Pane.
  4. If you would like to use the built-in style as-is, click on it to apply the style to your text. If you would like to update the style to match the text in your document, click on the arrow next to the style and choose “Update to Match Selection”.
Screenshot of the Home ribbon on a PC with the document styles settings and the icon for the styles pane outlined in purple
Styles settings on Windows
Screenshot of the Home ribbon on a Mac with the document styles and styles pane button outlined in yellow.
Styles settings on Mac

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.
  • For multilevel lists, use Define New Multilevel List.
  • Only use lists for two or more related items.
  • Avoid splitting lists across pages when possible. If necessary, combine them after exporting the PDF using the Accessibility Tags panel in Adobe Acrobat Pro.
Screenshot of the Home ribbon with the bulleted list, numbered list, and multi-level list 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:

  • Turn on Show/Hide Special Characters in the Home Ribbon to locate empty paragraphs. A ¶ symbol on a line by itself is an empty paragraph.
  • Use Space Before/After in the Layout Ribbon to create space between blocks of text.
  • To ensure spacing between same-styled paragraphs, select the text, right-click > Paragraph > uncheck “Don’t add space between paragraphs of the same style.”
  • To move text to the next page, use a Page Break.
Screenshot of the home ribbon with the show/hide special characters option outlined in yellow
Screenshot of the Layout ribbon with the space before and space after options outlined in yellow
Screenshot of the Paragraph settings dialog box with the don't add space between paragraphs of the same style checkbox 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 Colour Contrast Analyzer (free download – available in Company Portal for Windows 11 users)
  • Ensure all color combinations meet WCAG Level AA standards.
Two 'Submit' buttons showing contrast compliance. Left: purple with white text, contrast ratio 13.09:1 (passes). Right: yellow with white text, contrast ratio 1.54:1 (fails).

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.

Best Practices for Reading Order:

  • Avoid text wrapping around images.
  • Anchor images and text boxes in line with text (not floating).
  • Stick to content within the main text area.
Screenshot of the Wrap Text menu with In Line with Text outlined in yellow

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.
  • If saving a PDF, follow the steps below for Saving PDFs of Word Documents with Tables.
Screenshot of the Table Design ribbon with the Header Row and First Column checkboxes outlined in yellow

How to Save an Accessible PDF from Word

  • 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 “Create bookmarks using: headings”, “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 Windows
Screenshot of the More Options dialog box on PC with the Options button outlined in purple
More Options dialog on Windows
Screenshot of the Options dialog box on PC with the Create bookmarks using headings, Document Properties, and Document structure tags for accessibility checkboxes outlined in purple.
Options dialog on Windows
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

Saving PDFs of Word Documents with Tables

If your document contains tables, follow the steps above for table formatting to ensure your tables are set up properly.

  • On PC, use Acrobat > Create PDF and Run Action > Make Accessible. This will ensure the scope of your table header cells is properly applied in the PDF.
  • On Mac, follow the normal process described above for saving an accessible PDF. Then, you will need to follow the steps below in Adobe Acrobat to properly assign scopes to your table header cells:
    • Open the Order panel (if you do not see the order panel, right-click on the toolbar on the right side of Acrobat and choose “Order”)
    • Click on the triple dot in the top right corner of the panel and choose “Show reading order panel”
    • Locate a table in your document, and click on it to select the table.
    • Choose “Table Editor” in the reading order panel
    • If your table contains header cells in the first row:
      • Select all the cells in the first row, right-click, and choose “Table Cell Properties…”
      • Ensure “Type” is set to “Header Cell”, and choose “Column” in the dropdown for the “Scope”
      • Click OK and save your file
    • If your table contains header cells in the first column:
      • Select all the cells in the first column, right-click, and choose “Table Cell Properties…”
      • Ensure “Type” is set to “Header Cell”, and choose “Row” in the dropdown for the “Scope”
      • Click OK and save your file
Screenshot of the Acrobat ribbon on PC with the Create PDF and Run Action option selected and the Make Accessible option outlined in purple.
Create PDF and Run Actions options on Windows
Screenshot of the reading order panel in Adobe Acrobat with the Table Editor button outlined in purple
Reading order panel in Adobe Acrobat
Screenshot of the table cell properties window in Adobe Acrobat with the Scope dropdown open showing Row, Column, Both, or None.
Table Cell Properties in Adobe Acrobat