Colour check
Colour-blind view
See roughly how someone with colour blindness sees your colours or an image, and check whether your text has enough contrast under WCAG.
Draft — not checked yet
This translation has not been checked yet. It may still contain mistakes.
A letter, leaflet or PDF is accessible when people can also read it with a screen reader, on a phone, or when reading is hard for them. You set up most of this in your word processor, with real headings, alt text, enough contrast and clear language. Then you check the file, save it properly as a PDF, and ask someone it is meant for to read it.
This guide is about the documents you give or send to clients: an invitation to a first meeting, a leaflet about debt advice, a report, a form to fill in. On paper, or as a Word file or PDF by email or on the website. The digital documents are called office files: PDFs, files from Word, Excel and PowerPoint, and files in the Open Document Format, such as odt.
A document is accessible when everyone can read and use it. That includes someone who is blind and uses a screen reader: software that reads the text aloud and can jump from heading to heading. And someone who opens the file on a phone and zooms in, or who finds reading hard.
This needs two things. The document must be well put together, so that assistive technology understands what a heading, a list or a picture is. And the text must be easy to understand.
In the Netherlands, about 3 million people aged 16 to 75 have difficulty with reading, writing and/or maths, and for them a long letter with difficult words is hard to read.
People forget a large part of what you tell them in a conversation, and remember some of it differently from how it was said. A document to take home helps, if your client can read it.
For someone with a screen reader, a document without structure is one long block of text. If the text is in two columns and the reading order is wrong, the software reads line by line across both columns, so the sentences get mixed up.
For Dutch government organisations it is also a legal duty. All office files they have put online after 23 September 2018 must be accessible, and older files only if people still need them to arrange something. The same requirements apply to a PDF as to a web page.
It is rarely necessary to put information in a PDF. A normal web page is usually better: it adapts to a small screen, loads faster, and a form is easier to fill in on a web page. The visitor also does not have to switch from the website to a file.
Do you already have a lot of PDFs online that are not accessible? Then you can follow this order:
The steps below assume you use Word. Other word processors, such as LibreOffice Writer, work in a similar way. Also have your organisation’s templates adjusted, so that what you make with them more easily becomes an accessible PDF.
Start with the message. Put at the top what the reader needs to know or do. So an invitation does not start with a paragraph about the law the meeting is based on, but with the day and the time: “We will come to your home on Tuesday 6 October at 10am. We will then talk about what you need.”
Write short sentences with everyday words, at language level B1 (a level from the European framework for language skills). For people with low literacy, B1 is often still too hard. A2 suits them better: even shorter sentences, ten words at most, preferably fewer. Also read Writing at B1.
Use real headings. Make a heading with the Heading 1, Heading 2 or Heading 3 style, not by making text big and bold. Keep to the order and do not skip a level. A screen reader only recognises real headings, and someone can then use them to jump from heading to heading. This is requirement 1.3.1 of WCAG 2.2: the structure you see must also be fixed in the file itself.
Make lists and tables with the buttons in your program. You make a bulleted list with the button for bullets or numbering, not with dashes you type yourself. Only use a table for data, not to put text side by side. Give the table a header row, so that a screen reader knows which column is what.
Give images alt text. Alt text is a short description of an image, for people who cannot see it. If the image tells you something, write down what it means. Do not start with “an image of”. If it is only decoration, mark it as decoration, so that assistive technology skips it. Do not put important information only in a picture, such as a phone number in a logo. This is requirement 1.1.1 of WCAG 2.2. With the Alt text helper you write alt text by answering a few questions.
Make sure there is enough contrast, and do not use colour on its own. Normal text needs a contrast of at least 4.5 to 1 with the background, and for large text, from 18 point or 14 point bold, 3 to 1 is enough. That is requirement 1.4.3. Also, do not let colour be the only thing that tells you something, such as “the red appointments are compulsory” (requirement 1.4.1). The Colour-blind view shows roughly how someone who is colour-blind sees your leaflet, and works out whether two colours differ enough.
Write link text that says where the link goes. Not “click here”, but “See the opening hours of the neighbourhood team”. That way, someone who only has the links read aloud knows where each link goes.
Give the file a title and a language. Every PDF needs a clear title, which you fill in under the properties of the file. Also set the language of the document, so that the screen reader pronounces the words correctly. If a part is in another language, such as a sentence in English, mark that too.
Let Word check it. On the Review tab, choose Check Accessibility. Word then points out problems, such as images without alt text. Fix those points before you make a PDF.
Save as PDF, with tags. Tags are invisible labels in a PDF that tell a screen reader what a heading, a list or an image is. Under Save As, choose PDF as the file type, open the options and tick Document structure tags for accessibility. The PDF then takes over the headings, lists and alt text from your Word file.
Check the PDF itself. Open it on a phone and zoom in. Try to select text: if that does not work, it is a picture of text. If the document is long, check whether there are bookmarks, so that someone can jump to a chapter. If the text is in columns or text boxes, check the reading order (requirement 1.3.2). You can check and change it in a PDF program such as Adobe Acrobat Pro.
Ask someone it is meant for to read it. Test information materials with people from the target group: show the images, read the text aloud, and then ask what the person has understood. That last part is called the teach-back method. For example, ask: “What are you going to do now with this letter?” Does someone then think the meeting is at the office, while you are coming to their home? Then put “to your home” in bold.
WCAG is about digital information, not about paper, but the same ideas help there too. Tips that work for text in plain language include:
For images, choose concrete pictures, and often photos rather than drawings. Read more about images in Visual support for your client.
A letter often exists both on paper and digitally, for example as a PDF in the client portal. Then make that digital version accessible too.
Is a Word file better than a PDF? Both can be accessible, if you use the right way of working and the right software. A normal web page is usually even better, especially on a phone.
Our leaflets come from a design agency. What can we do? Agree that new PDFs are delivered accessible straight away, with tags, alt text and a good reading order. When they are delivered, ask how the agency checked this.
How long should alt text be? Short: a short sentence or two at most. Write what the image means in that place in the document. For example, a photo of the team next to “Who will visit you?” gets the names of the people in it, not “four people laughing”.
Colour check
See roughly how someone with colour blindness sees your colours or an image, and check whether your text has enough contrast under WCAG.
Text check
Check whether your Dutch text is easy to read. See long sentences and difficult words, with a simpler word next to them.
Writing aid
Write good alt text for an image. Answer a few questions and get advice and a draft you can copy.
B1 is one of the six language levels in the Common European Framework of Reference for Languages. A text in plain Dutch at language level B1 uses everyday words and short, active sentences. Most adults understand such a text, but for people who find reading difficult, B1 is often still too hard. Then A2 is a better fit.
An accessible website is one that everyone can use, including people who cannot see well, do not use a mouse or find reading hard. You start with an overview and a first check of your own. Then you have it tested, make agreements with your web developer and suppliers, and keep it up to date every year.
Psychoeducation is explaining what is going on, so that your client understands where problems come from and what helps. You can ask your client to do something themselves: draw, choose cards, come up with an image. Base the content on reliable sources and on the treating practitioner, and check together whether it has come across.
Send us a message if you have an idea, are missing something or would like to try a tool with your team. Tell us in a few sentences what it is about. We read everything, and it commits you to nothing.