Hi @TWScruggs,
Hope you are doing well. Sorry for the trouble with using Accessibility features on Acrobat.
Let’s try what I would personally think of as the best practices in this workflow:
When working with very large PDFs (hundreds of pages), the best approach is not to remediate the entire document at once. Instead, break the process into manageable steps and rely on automation where possible.
1 - Start with Prepare for accessibility
In Acrobat:
This generates an accessibility report highlighting issues such as missing tags, document title, language, figures without alt text, and reading order problems. The report provides links to tools that help fix each issue.
2 - Automatically tag the document first
If the PDF is untagged: Go to Prepare for Accessibility > Automatically Tag PDF
Acrobat analyzes the page layout and creates an initial tag tree structure. This provides a starting point for remediation, but it will still require manual corrections for complex layouts like tables or multi-column content.
Important: Auto-tagging is only a starting point, not a final solution. Manual verification is always required.
3 - Split the document (best for larger files)
For a 300+ page file, remediation is much easier if you split it into smaller sections.
In Acrobat:
Remediate each smaller document separately, then combine them again once tagging is complete.
This avoids:
4 - Fix Tagging Order
After tagging:
Correct reading order is essential because screen readers follow the tag structure rather than the visual layout.
5 - Address common accessibility issues
Typical problems in large documents include:
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Missing headings → apply proper H1, H2, H3 hierarchy
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Images without alt text → add alternate descriptions
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Tables not tagged correctly → convert to table structure
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Scanned pages → run OCR before tagging
If the PDF is scanned, run Scan & OCR > Recognize Text. OCR converts images of text into real text so assistive technologies can read it.
6 - Run Accessibility check again
After remediation:
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Run Accessibility Check again
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Fix remaining Failed items
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Review Needs Manual Check items individually.
Best Tip:
If the original source file (Word, InDesign, etc.) is available, remediating the source document and exporting a tagged PDF again is usually much faster and more accurate than fixing everything directly in Acrobat.
More information around creating and working with Accessible PDFs can be found here.
Hope this gives some clarity.
Regards.
Souvik