PDF vs Word for Accessibility: Which Format Is Actually Better?

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There’s a long-running debate: should you publish reports as PDF or Word (.docx)? The real answer is: it depends on your workflow and whether accessibility tagging is maintained. This guide explains the trade-offs, the biggest pitfalls, and how to choose the right format for your audience.

TL;DR: A well-structured .docx is often easier for assistive technologies than a poorly tagged PDF. If you export to PDF, ensure it’s tagged and check reading order, headings, lists and tables. When in doubt, publish both: an accessible .docx and a properly tagged PDF.

How screen readers interpret Word vs PDF

  • Word (.docx): When headings, lists, tables and language are correctly set, many screen readers navigate .docx reliably via structural styles.
  • PDF: Requires correct tags and reading order. If a PDF isn’t tagged—or has an incorrect order—navigation becomes painful or impossible.

Pros and cons

Word (.docx): Pros

  • Editable source: easy to fix issues and keep styles consistent.
  • Built-in semantics using Heading styles, list styles, table headers.
  • Often better for long-term records and collaboration.
  • File size usually smaller; simple to localise/update.

Word (.docx): Cons

  • Layout fidelity varies across devices/versions.
  • Complex layouts (text boxes, shapes) can break reading order.
  • Not ideal for “print-perfect” distribution.

PDF: Pros

  • Fixed layout suitable for archiving and official “published” look.
  • Universally viewable; consistent print output.
  • Supports tagging for accessibility when done correctly.

PDF: Cons

  • Tagging and reading order are easy to get wrong.
  • Tables, lists, and footnotes are commonly mis-tagged.
  • Edits require re-export or specialist tools (risk of divergence from source).

When to prefer Word

  • Drafts, collaborative documents, or frequently updated content.
  • When your audience needs to copy text, reuse content, or change formatting (e.g., dyslexia-friendly styles).
  • Internal records where the source must remain accessible and editable.

When to prefer PDF

  • Public-facing reports that must match a fixed layout or be printed widely.
  • Documents with controlled branding where pagination matters.
  • Archives and official releases—if you can ensure correct tagging.

Export settings that actually matter

  • From Word to PDF: Use “Best for electronic distribution” and ensure **Document structure tags for accessibility** is enabled. After export, check the PDF with a reader that can show tags and reading order.
  • In Word: Use real Heading styles, real lists, enable Header Row for tables, add alt text, and set the document language.

Common pitfalls (and fixes)

  • Untitled PDFs / missing metadata: Set Title/Subject in Word before export; verify in the PDF.
  • Wrong reading order: Avoid floating text boxes for essential content; keep a single, logical flow.
  • Images of text: Use real text; if unavoidable, include the same content as text near the image.
  • Tables used for layout: Use CSS/grid (for web) or regular paragraphs instead; in Word/PDF, ensure data tables have header cells.
  • Raw URLs: Replace with descriptive link text (“Annual energy outlook”) before export.
  • Language not specified: Set document language; add spans for foreign phrases.

Best practice for government & higher-ed

  1. Keep the **accessible .docx** as the canonical source of truth.
  2. Publish a **properly tagged PDF** when you need fixed layout or print fidelity.
  3. Provide **both** formats for important public documents, with clear file labels.
  4. Store an **audit trail** (what was checked/fixed and when).

Try Accessr: After you finish editing in Word, run a local check-and-fix with Accessr. It operates entirely in your browser (no uploads), adds safe fixes (alt text placeholders, table header rows, language), and produces a simple audit report for records.

Decision guide

Choose Word if the document is living, collaborative, or needs easy re-use. Choose PDF if you need fixed layout, brand precision, or wide distribution — but only with correct tagging. For high-stakes reports, offer both.