Compliance Report — ELAC EMT Immunization Requirements

What This Report Shows

This report evaluates the accessibility of a single document against WCAG 2.1 Level AA — the standard required for ADA compliance. The document was tested with 34 automated accessibility checks and 9 screen reader simulation checks that replicate how NVDA and VoiceOver navigate PDF documents.

Conformant: All checks pass. The document is fully accessible to screen readers and assistive technology.
Partially Conformant: Minor issues remain (3 or fewer failed checks). The document is mostly accessible but has small gaps.
Not Conformant: Significant accessibility barriers exist. Screen reader users may not be able to fully access this document.

Screen Reader Readability

Composite readability score: 99.6/100 (Excellent)

This score summarizes practical screen reader readability across text extractability, tagging coverage, alt text quality, heading structure, and table/list accessibility.

Component	Score	Details
Text extractability	29.6/30	total chars=3295, readable chars=3254, replacement chars=0
Tag coverage	25.0/25	tagged pages=2, total pages=2, tags per page=346.0
Alt text quality	20.0/20	figures=0, note=no figures
Heading structure	15.0/15	errors=0, warnings=0
Table/list accessibility	10.0/10	errors=0

Document Information

Source
Original File Type	PDF
Original File Size	500.5 KB
Original PDF (un-remediated)	b3f2c37b_Immunization_Worksheet_2026_revised.pdf
Remediated PDF	Immunization_Worksheet_2026_revised.pdf
Source Web Page	N/A
Original Accessibility State
Had Structure Tags	Yes
Had Language Set	Yes
Had Document Title	No
After Remediation
Remediated File Size	294.2 KB
Pages	2
Structure Tags	692
Checks Passed	27 of 28 applicable (5 not applicable)
Screen Reader Errors	0
Screen Reader Warnings	0
veraPDF	FAIL
Conformance	Partially Conformant

WCAG 2.1 AA Conformance

Success Criterion

Status

Remarks

1.1.1 Non-text Content (Level A)

PASS

1.3.1 Info and Relationships (Level A)

PASS

1.3.2 Meaningful Sequence (Level A)

FAIL

Document structure provides logical reading order: Page 1: The structure tree is completely incorrect for a form layout. It uses a massive, flat list of generic

tags followed by a long sequence of

and tags, rather than using a proper structure.; Page 1: The reading order is illogical. It attempts to break down the table content into individual list items rather than preserving the row-by-row or cell-by-cell relationship required for a table.

1.3.3 Sensory Characteristics (Level A)	N/A	Not applicable to static PDF documents
1.4.1 Use of Color (Level A)	PASS
1.4.3 Contrast (Minimum) (Level AA)	PASS
1.4.5 Images of Text (Level AA)	PASS
2.1.1 Keyboard (Level A)	PASS
2.1.2 No Keyboard Trap (Level A)	N/A	Not applicable to static PDF documents
2.2.1 Timing Adjustable (Level A)	PASS
2.3.1 Three Flashes or Below Threshold (Level A)	N/A	No applicable checks for this document
2.4.1 Bypass Blocks (Level A)	PASS
2.4.2 Page Titled (Level A)	PASS
2.4.4 Link Purpose (In Context) (Level A)	PASS
2.4.5 Multiple Ways (Level AA)	PASS
2.4.6 Headings and Labels (Level AA)	N/A	No applicable checks for this document
2.4.7 Focus Visible (Level AA)	PASS
3.1.1 Language of Page (Level A)	PASS
3.1.2 Language of Parts (Level AA)	N/A	Not applicable to static PDF documents
3.2.3 Consistent Navigation (Level AA)	N/A	Not applicable to static PDF documents
3.2.4 Consistent Identification (Level AA)	N/A	Not applicable to static PDF documents
4.1.1 Parsing (Level A)	PASS
4.1.2 Name, Role, Value (Level A)	PASS

Accessibility Checks (34)

Category

Check

Result

Details

Document

Accessibility permission flag is set

Passed

Document

Document is not image-only PDF

Passed

Document

Document is tagged PDF

Passed

Document

Structure tree is internally consistent

Passed

Document

Document structure provides logical reading order

Failed

Page 1: The structure tree is completely incorrect for a form layout. It uses a massive, flat list of generic

tags followed by a long sequence of

Document	Text language is specified	Passed	Language: no
Document	Document title is showing in title bar	Passed
Document	Bookmarks are present in large documents	Passed	Document has 2 pages (≤20, bookmarks not required)
Document	Document has appropriate color contrast	Passed	Vision analysis: contrast is acceptable
Page Content	All page content is tagged	Passed
Page Content	All annotations are tagged	Passed
Page Content	Tab order is consistent with structure order	Passed
Page Content	Reliable character encoding is provided	Passed	Likely inherited source-font/CIDSet limitation: Page 1: /R11 uses unmapped glyph codes in /ToUnicode (0x00); Likely inherited source-font/CIDSet limitation: Page 1: /R130 uses unmapped glyph codes in /ToUnicode (0x03, 0xED); Likely inherited source-font/CIDSet limitation: Page 1: /R14 uses unmapped glyph codes in /ToUnicode (0x00, 0x01, 0x02, 0x0F, 0x10, 0x1A)
Page Content	All multimedia objects are tagged	Not Applicable	No multimedia objects found
Page Content	Page will not cause screen flicker	Passed
Page Content	No inaccessible scripts	Passed
Page Content	Navigation links are not repetitive	Passed
Page Content	Page does not require timed responses	Passed
Forms Tables Lists	All form fields are tagged	Not Applicable	No form fields found
Forms Tables Lists	All form fields have description	Passed
Forms Tables Lists	TR must be child of Table/THead/TBody/TFoot	Passed
Forms Tables Lists	TH and TD must be children of TR	Passed
Forms Tables Lists	Tables must have headers	Not Applicable	No tables found
Forms Tables Lists	Tables: same cols per row, same rows per col	Passed
Forms Tables Lists	Tables must have a summary	Not Applicable	No tables found
Forms Tables Lists	LI must be child of L	Passed
Forms Tables Lists	Lbl and LBody must be children of LI	Passed
Alt Text Headings	Figures require alternate text	Not Applicable	No figures found
Alt Text Headings	Alternate text that will never be read	Passed
Alt Text Headings	Alternate text must be associated with content	Passed
Alt Text Headings	Alternate text should not hide annotation	Passed
Alt Text Headings	Elements require alternate text	Passed
Alt Text Headings	Appropriate heading nesting	Passed

Screen Reader Validation (0 issues)

No screen reader issues detected.