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Creating Accessible Word & PowerPoint Documents

Step-by-step guidance for Microsoft Word and PowerPoint accessibility.

⏱️ Reading time: 12 minutes

Microsoft Word accessibility

Word documents are among the most common files shared at the university. Following accessibility practices from the start is easier than remediating later.

1. Use built-in heading styles

Why

Screen readers use heading structure to navigate documents. Users can jump between sections and understand document organization.

How

  1. Select your heading text
  2. Go to Home tab → Styles gallery
  3. Choose Heading 1 for main title, Heading 2 for major sections, Heading 3 for subsections
  4. Don't skip levels (e.g., don't go from Heading 1 directly to Heading 3)

Don't

Make text bold or larger to look like a heading. This is visual-only and provides no structure.

2. Add alternative text to images

Why

Screen readers cannot interpret images. Alt text describes the image content to users who cannot see it.

How

  1. Right-click the image → View Alt Text (or Edit Alt Text)
  2. Write a concise description of what the image shows or conveys
  3. If the image is decorative (adds no information), check Mark as decorative

Tips for good alt text

  • Be concise: 1-2 sentences is usually sufficient
  • Describe the content and function, not appearance
  • For charts/graphs, describe the key data or trend
  • Don't start with "Image of..." - screen readers already announce it's an image

3. Create accessible tables

Why

Screen readers read tables cell by cell. Without proper structure, data becomes meaningless.

How

  1. Use InsertTable to create tables (don't draw them)
  2. Select the header row → Table Design tab → check Header Row
  3. Right-click header row → Table PropertiesRow tab → check Repeat as header row at top of each page
  4. Keep tables simple: avoid merged cells, nested tables, or blank cells

Don't

  • Use tables for layout purposes. Tables should only contain tabular data.

4. Use meaningful link text

Why

Screen reader users often navigate by links. "Click here" doesn't explain where the link goes.

How

5. Ensure sufficient color contrast

Why

Low contrast text is difficult to read for users with low vision or color blindness.

How

  • Use dark text on light backgrounds
  • Avoid light gray text or pastel colors
  • Don't convey information by color alone (add text labels or patterns)
  • Test with the WebAIM Contrast Checker

6. Use built-in lists

Why

Screen readers announce list items and counts, helping users understand document structure.

How

  • Use HomeBullets or Numbering
  • Don't manually type dashes or numbers

7. Set document language

Why

Screen readers use the language setting for correct pronunciation.

How

  • Select all text (Ctrl+A or Cmd+A)
  • Review tab → LanguageSet Proofing Language
  • Choose English (United States) or appropriate language

8. Run the Accessibility Checker

Why

Word's built-in checker catches common issues automatically.

How

  • Review tab → Check Accessibility
  • Review each issue in the Accessibility pane
  • Click issues to navigate to them and follow recommended actions

Microsoft PowerPoint accessibility

Presentations require additional considerations for both live delivery and shared files.

1. Use built-in slide layouts

Why

Built-in layouts have proper reading order and structure. Custom layouts may read in wrong order.

How

  • Home tab → Layout → choose appropriate layout
  • Use Title Slide for first slide, Title and Content for body slides
  • If you need custom layouts, create them in Slide Master with proper placeholders

2. Give every slide a unique title

Why

Screen reader users navigate by slide titles. Duplicate or missing titles make navigation impossible.

How

  • Always use the title placeholder
  • If you don't want visible title, use ViewOutline View to add titles that can be hidden
  • Make each title unique and descriptive

3. Set reading order

Why

Screen readers read slide elements in a specific order. Default order may not match visual layout.

How

  1. Home tab → ArrangeSelection Pane
  2. Items are read bottom to top in the Selection Pane
  3. Drag items to reorder them logically (title first, then content)

4. Add alt text to images, charts, and SmartArt

Why

Same as Word - visual content needs text descriptions.

How

  1. Right-click the object → View Alt Text
  2. Write a description of what the image conveys
  3. For charts, describe the key data trend or conclusion

5. Use sufficient font size and contrast

Why

Presentations are often viewed at a distance or on small screens.

Recommendations

  • Title text: 36pt minimum
  • Body text: 24pt minimum
  • Use high contrast colors (dark on light)
  • Avoid busy backgrounds that reduce readability

6. Make links meaningful

Why

Same principle as Word documents.

Additional tip

Include full URLs in speaker notes or handouts for in-person presentations, since people can't click slides.

7. Avoid auto-playing media

Why

Auto-playing content can be disorienting and interfere with screen readers.

How

  • Set videos and audio to play on click, not automatically
  • Provide controls for all multimedia
  • Add captions to videos (see captioning guide)

8. Create accessible animations

Why

Complex animations can be disorienting and may not convey information to screen reader users.

How

  • Use animations sparingly and purposefully
  • Avoid flashing content (can trigger seizures)
  • Ensure content makes sense without animations

9. Run the Accessibility Checker

How

  1. Review tab → Check Accessibility
  2. Address each error and warning
  3. Pay special attention to reading order and missing alt text

Sharing accessible documents

Sharing Word documents

  • Keep as .docx: The native format preserves accessibility best
  • PDF export: Use FileExportCreate PDF/XPS with "Document structure tags for accessibility" checked
  • Check the PDF: Open in Adobe Acrobat and verify tags are present

Sharing PowerPoint

  • Keep as .pptx: Best for accessibility and editability
  • PDF export: Use FileExportCreate PDF/XPS
  • Video export: Include captions if exporting to video format
  • Provide notes: Share speaker notes as a separate accessible document

Quick checklist

Word documents

  • check_box_outline_blank Built-in heading styles used (no skipped levels)
  • check_box_outline_blank Alt text on all images
  • check_box_outline_blank Table headers defined
  • check_box_outline_blank Meaningful link text
  • check_box_outline_blank Document language set
  • check_box_outline_blank Accessibility Checker passed

PowerPoint presentations

  • check_box_outline_blank Built-in slide layouts used
  • check_box_outline_blank Every slide has unique title
  • check_box_outline_blank Reading order verified
  • check_box_outline_blank Alt text on all images/charts
  • check_box_outline_blank Font size 24pt+ for body, 36pt+ for titles
  • check_box_outline_blank Videos have captions
  • check_box_outline_blank Accessibility Checker passed