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Accessibility

· 13 checks — Landmarks, headings, alt text, forms, and link quality rolled into one auditable list.
SCORE
58
GRADE
D
FIX
5
REVIEW
4
PASS
4
INFO
0
Checks
13
4 PASS 4 REVIEW 5 FIX
F
Favicon & Branding
Action
1 icon(s) detected
FIX
1 icon(s) detected
Warning::
No favicon.ico at site root
Some older browsers, bookmark tools, and RSS readers look for /favicon.ico. Add one as a fallback.
Info::
HTML icon links detected
Info::
No apple-touch-icon detected
iOS devices use this when users add your site to their home screen. Add <link rel='apple-touch-icon' sizes='180x180' href='/apple-touch-icon.png'>.
favicon.ico Missing
PNG Icons Present
Apple Touch Missing
SVG Favicon Missing
Manifest Icons Missing
Multiple Sizes Missing
D
Web Manifest
Action
Not found
FIX
Not found
Info::
No web manifest found
No manifest at standard paths (/manifest.json, /site.webmanifest). A manifest is optional but enables PWA features like home screen installation and standalone display.

No web manifest found.

D
Dark Mode Support
Action
No dark mode signals
FIX
No dark mode signals
Info::
No dark mode signals detected
Consider adding CSS with @media (prefers-color-scheme: dark) and <meta name='color-scheme' content='light dark'>.
Info::
Detection limited to meta tags and inline styles
External CSS files may contain prefers-color-scheme rules not visible to this scan.
Dark ModeNo Dark Mode Detected
color-scheme meta Not set Dark theme-color Not set CSS indicators Not detected

Detection limited to meta tags and inline styles.

D
Print Stylesheet
Action
No print styles
FIX
No print styles
Info::
No print-specific styles detected
When users print this page, they get the screen layout including navigation and non-essential elements. Add @media print rules to hide navigation and optimize layout for paper.
Print Stylesheet No Print Styles
Print stylesheet Not found Inline @media print Not detected
F
Navigation UX
Action
No navigation patterns
FIX
No navigation patterns
Info::
No breadcrumbs, search, or skip link detected
These navigation aids help users orient themselves and find content efficiently, especially on large sites.
Breadcrumbs
Search
Skip Link
Labeled Navigation
Back to Top
Hamburger Menu
Sticky Navigation Cannot reliably detect (CSS-based)
0 of 6 testable patterns navigation patterns detected. Limited navigation support. Consider adding breadcrumbs, search, and skip link.
B
Landmark Structure
4 landmarks
REVIEW
4 landmarks
Info::
<main> landmark present
Warning::
No <nav> landmark found
Warning::
Skip navigation link is missing (WCAG 2.4.1)
Add a skip link as the first focusable element so keyboard users can bypass repeated navigation.
Page Structure — as a screen reader sees it
BANNER header MAIN CONTENTINFO footer

Add a skip link as the first focusable element so keyboard users can bypass repeated navigation.

Why this matters

Without a skip-nav link, keyboard users tab through every nav item before reaching content — every page, every visit.

Learn more

WCAG 2.4.1 (Bypass Blocks) requires a mechanism to skip past repeated content. The standard implementation is a 'Skip to main content' link that's the first focusable element, visually hidden until focused. Three lines of HTML + four of CSS.

Source: WCAG 2.1 SC 2.4.1

B
404 Error Page
HTTP 404, custom page
REVIEW
HTTP 404, custom page
Info::
Correct 404 status code returned
Got: HTTP 404
Info::
Custom styled 404 page
Info::
Navigation links present on 404 page
Info::
Homepage link present on 404 page
404 Page Quality Custom 404 Page
Status Code HTTP 404 Page Title There doesn't seem to be anything here. - MSD Manual Version Custom Styling Navigation Homepage Link Search Form
C
Color Contrast (Screenshot)
Action
20 text elements analyzed, 1 fail WCAG AA
REVIEW

Analyzes text contrast against the actual rendered page, including background images, gradients, and overlays that CSS-based tools cannot detect.

19 pass 1 fail WCAG AA 6 pass AA only
h3 For Medical Professionals and Students, …
2.38:1
#000000
on
#174F6D
needs 3.0:1 (large text)
19px · above the fold
Show all checked elements (20)
ElementRatioRequiredFGBGResult
h1 The Trusted Provider…5.82:13.0:1
#000000
#5A8DA9
Pass
h2 The MSD Manuals are …6.18:13.0:1
#000000
#5C93A6
Pass
h2 Choose the version t…10.25:13.0:1
#000000
#99BBC3
Pass
h2 Our mission is simpl…21.00:13.0:1
#000000
#FFFFFF
Pass
h3 Professional Version6.17:13.0:1
#000000
#6E90A2
Pass
h3 For Medical Professi…2.38:13.0:1
#000000
#174F6D
Fail
h3 I’m a medical prof…3.31:13.0:1
#000000
#B12E32
Pass
h3 Go To Professional V…3.00:13.0:1
#000000
#505D46
Pass
h3 Consumer Version21.00:13.0:1
#000000
#FFFFFF
Pass
h3 For the General Publ…21.00:13.0:1
#000000
#FFFFFF
Pass
h3 I’m a patient, par…21.00:13.0:1
#000000
#FFFFFF
Pass
h3 Go To Consumer Versi…21.00:13.0:1
#000000
#FFFFFF
Pass
h3 Veterinary Manual21.00:13.0:1
#000000
#FFFFFF
Pass
h3 For Veterinary Profe…21.00:13.0:1
#000000
#FFFFFF
Pass
h3 I’m a vet or pet o…21.00:13.0:1
#000000
#FFFFFF
Pass
h3 Go to Veterinary Man…21.00:13.0:1
#000000
#FFFFFF
Pass
title The Trusted Provider…5.98:14.5:1
#000000
#598FB0
Pass
a honeypot link5.83:14.5:1
#000000
#578DAE
Pass
div ENGLISH5.41:14.5:1
#000000
#5587A7
Pass
span MSD MANUALS5.35:14.5:1
#000000
#5586A6
Pass

Methodology: The top 20 text elements by font size were checked. Background color was sampled from the desktop screenshot using a 5-point pattern. WCAG 2.1 AA requires 4.5:1 for normal text and 3:1 for large text.

A+
Heading Hierarchy
16 headings
PASS
16 headings
Info::
Single H1 present
  • H1 The Trusted Provider of Medical Information since 1899
  • H2 The MSD Manuals are a comprehensive medical information source covering thousands of topics in all fields of medicine. They are offered as a free public service to health care professionals and the ge
  • H2 Choose the version that best meets your needs
  • H3 Professional Version
  • H3 For Medical Professionals and Students, more advanced content and features
  • H3 I’m a medical professional or student.
  • H3 Go To Professional Version
  • H3 Consumer Version
  • H3 For the General Public, information that is clear and easy to understand
  • H3 I’m a patient, parent or caregiver.
  • H3 Go To Consumer Version
  • H3 Veterinary Manual
  • H3 For Veterinary Professionals and Students, the world's most widely used veterinary reference
  • H3 I’m a vet or pet owner.
  • H3 Go to Veterinary Manual
  • H2 Our mission is simple:
A+
Alt Text Quality
All 27 images OK
PASS
All 27 images OK
Info::
2 image(s) with alt text over 125 characters
Info::
14 decorative image(s) correctly marked
Info::
11 image(s) with good alt text
27 images 11 good alt text 14 decorative
IssueCount
too long2 image(s)
A
Form Accessibility
1 of 1 controls have issues
PASS
1 of 1 controls have issues
Critical::
1 control(s) without accessible label
Form controls need a <label>, aria-label, or aria-labelledby for screen readers.
Got: <input id="findInTopic-autocomplete">
1 controls
0 labeled
0 placeholder only
1 unlabeled
ControlTypeLabelMethod
#findInTopic-autocompleteinput(none)none

Form controls need a <label>, aria-label, or aria-labelledby for screen readers.

<input id="findInTopic-autocomplete">

Why this matters

Form controls without labels — assistive tech announces 'edit text' with no context; users can't complete forms.

Source: WCAG 2.1 SC 3.3.2

A
Lighthouse Accessibility Audits
Score 92/100 — 2 failing, 26 passed
PASS
92

Accessibility

These checks highlight opportunities to improve the accessibility of your web app. Automatic detection can only detect a subset of issues and does not guarantee the accessibility of your web app, so manual testing is also encouraged.

Names and labels

When a button doesn't have an accessible name, screen readers announce it as "button", making it unusable for users who rely on screen readers. Learn how to make buttons more accessible.

Why this matters

Performance issues directly impact user engagement and conversion rates.

Failing Elements
div#mob-sticky-footer > ul.StickyFooter_footer_sticky_bottomlist__Le30i > li.StickyFooter_imgIcon__JuZvS > button.StickyFooter_footer_sticky_moreButton__JAc2t

These are opportunities to improve the semantics of the controls in your application. This may enhance the experience for users of assistive technology, like a screen reader.

Contrast

Low-contrast text is difficult or impossible for many users to read. Link text that is discernible improves the experience for users with low vision. Learn how to make links distinguishable.

Why this matters

Performance issues directly impact user engagement and conversion rates.

Failing Elements
Global Medical Knowledge. div.LandingAbout_designText__6IuGE > div.content__paragraph > p > a

These are opportunities to improve the legibility of your content.

Interactive controls are keyboard focusable
Interactive elements indicate their purpose and state
The page has a logical tab order
Visual order on the page follows DOM order
User focus is not accidentally trapped in a region
The user's focus is directed to new content added to the page
HTML5 landmark elements are used to improve navigation
Offscreen content is hidden from assistive technology
Custom controls have associated labels
Custom controls have ARIA roles
`[aria-*]` attributes match their roles
`[aria-hidden="true"]` is not present on the document `<body>`
`[role]`s have all required `[aria-*]` attributes
`[role]` values are valid
`[aria-*]` attributes have valid values
`[aria-*]` attributes are valid and not misspelled
Image elements have `[alt]` attributes
`[user-scalable="no"]` is not used in the `<meta name="viewport">` element and the `[maximum-scale]` attribute is not less than 5.
ARIA attributes are used as specified for the element's role
Elements with `role="dialog"` or `role="alertdialog"` have accessible names.
`[aria-hidden="true"]` elements do not contain focusable descendents
ARIA input fields have accessible names
Elements use only permitted ARIA attributes
Background and foreground colors have a sufficient contrast ratio
Document has a `<title>` element
`<html>` element has a `[lang]` attribute
`<html>` element has a valid value for its `[lang]` attribute
Links have a discernible name
Lists contain only `<li>` elements and script supporting elements (`<script>` and `<template>`).
List items (`<li>`) are contained within `<ul>`, `<ol>` or `<menu>` parent elements
No element has a `[tabindex]` value greater than 0
Touch targets have sufficient size and spacing.
Heading elements appear in a sequentially-descending order
Document has a main landmark.
Deprecated ARIA roles were not used
Elements with visible text labels have matching accessible names.
`[accesskey]` values are unique
`button`, `link`, and `menuitem` elements have accessible names
ARIA `meter` elements have accessible names
ARIA `progressbar` elements have accessible names
Elements with an ARIA `[role]` that require children to contain a specific `[role]` have all required children.
`[role]`s are contained by their required parent element
Elements with the `role=text` attribute do not have focusable descendents.
ARIA toggle fields have accessible names
ARIA `tooltip` elements have accessible names
ARIA `treeitem` elements have accessible names
The page contains a heading, skip link, or landmark region
`<dl>`'s contain only properly-ordered `<dt>` and `<dd>` groups, `<script>`, `<template>` or `<div>` elements.
Definition list items are wrapped in `<dl>` elements
ARIA IDs are unique
No form fields have multiple labels
`<frame>` or `<iframe>` elements have a title
`<html>` element has an `[xml:lang]` attribute with the same base language as the `[lang]` attribute.
Input buttons have discernible text.
`<input type="image">` elements have `[alt]` text
Form elements have associated labels
The document does not use `<meta http-equiv="refresh">`
`<object>` elements have alternate text
Select elements have associated label elements.
Skip links are focusable.
Cells in a `<table>` element that use the `[headers]` attribute refer to table cells within the same table.
`<th>` elements and elements with `[role="columnheader"/"rowheader"]` have data cells they describe.
`[lang]` attributes have a valid value
`<video>` elements contain a `<track>` element with `[kind="captions"]`
Tables have different content in the summary attribute and `<caption>`.
All heading elements contain content.
Uses ARIA roles only on compatible elements
Image elements do not have `[alt]` attributes that are redundant text.
Identical links have the same purpose.
Tables use `<caption>` instead of cells with the `[colspan]` attribute to indicate a caption.
`<td>` elements in a large `<table>` have one or more table headers.
All checks on this page are automated. Results are estimates - run targeted manual reviews when the score affects a release decision.

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