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Accessibility

· 13 checks — Landmarks, headings, alt text, forms, and link quality rolled into one auditable list.
SCORE
60
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 ✗
B
Heading Hierarchy
36 headings, 1 skip(s)
REVIEW
36 headings, 1 skip(s)
Warning::
Multiple H1 headings (12 found)
A page should have only one H1. Multiple H1s dilute the document outline.
Warning::
Heading level skipped: H2 → H4 (missing H3)
Skipping heading levels breaks the document outline. Screen readers may interpret missing levels as structural errors.
  • H1 Donating Blood and Plasma
  • H1 Gender Dysphoria and Evidence-Based Care duplicate H1
  • H1 Food is Medicine duplicate H1
  • H1 The All-American Fitness Challenge Competition duplicate H1
  • H1 Ovulation Calculator duplicate H1
  • H1 Donating Blood and Plasma duplicate H1
  • H1 Gender Dysphoria and Evidence-Based Care duplicate H1
  • H1 Food is Medicine duplicate H1
  • H1 The All-American Fitness Challenge Competition duplicate H1
  • H1 Ovulation Calculator duplicate H1
  • H1 Donating Blood and Plasma duplicate H1
  • H1 Office of the Assistant Secretary for Health duplicate H1
  • H2 I'm looking for
  • H2 Who We Are
  • H3 Healthy people, healthy community, and a healthy nation for all.
  • H2 News
  • H3 HHS’ Office for Civil Rights Secures Provider Compliance with Disability Rights Laws
  • H3 Secretary Kennedy Advances MAHA Agenda in Arizona with Focus on Prevention, Recovery, and Tribal Health
  • H3 HHS Replaces Legacy COBOL Payroll System, Delivering Faster, More Reliable Services
  • H3 Featured
  • H3 Dietary Guidelines
  • H3 Move Your Way® Community Resources
  • H3 Offices
  • H3 Office of Disease Prevention and Health Promotion (ODPHP)
  • H3 Office for Human Research Protections (OHRP)
  • H3 Office of Infectious Disease and HIV/AIDS Policy (OIDP)
  • H3 The Office of Minority Health (OMH)*
  • H3 The Office of Population Affairs (OPA)
  • H3 The Office of Research Integrity (ORI)
  • H3 The Office of the Surgeon General (OSG)
  • H3 The Office on Women's Health (OWH)
  • H3 Regional Offices
  • H2 Advisory Committees
  • H2 In Case You Missed It
  • H2 Stay Connected
  • H4 OASH Postal Address skipped

A page should have only one H1. Multiple H1s dilute the document outline.

Why this matters

Multiple H1s blur the page's primary topic — screen-reader users and Google both prefer one H1.

Learn more ▾

HTML5's outline algorithm technically allows multiple H1s within sectioning content, but no browser implements it. In practice: one H1 per page. Use H2-H6 for subsections.

Source: WCAG 2.4.6 / Google Search Central

Skipping heading levels breaks the document outline. Screen readers may interpret missing levels as structural errors.

Why this matters

Skipping heading levels breaks the document outline — screen-reader users lose track of section nesting.

Learn more ▾

Screen reader users navigate by jumping between headings (H1 → H2 → H3). Skipping (H1 → H3) breaks the sense of hierarchy. Use sequential levels even if you don't like the default styling — restyle with CSS instead. WCAG 1.3.1 (Info and Relationships) treats this as an A failure.

Source: WCAG 2.1 SC 1.3.1 / W3C WAI

B
Alt Text Quality
1 of 23 images have issues
REVIEW
1 of 23 images have issues
Critical::
1 image(s) missing alt attribute
Images without alt text are invisible to screen readers.
Critical::
1 image-in-link without alt text
An image inside a link with no alt creates an empty link.
Info::
6 decorative image(s) correctly marked
Info::
16 image(s) with good alt text
23 images 16 good alt text 6 decorative 1 missing
IssueCount
missing1 image(s)

Images without alt text are invisible to screen readers.

Why this matters

Each image without alt text is a WCAG 1.1.1 failure — invisible to screen-reader users, lost from Google Image Search.

Learn more ▾

WCAG 2.1 Level A requires text alternatives for non-decorative images. Empty alt='' is fine for decorative; meaningful images need descriptive text. Common fixes: CMS audit + bulk add, build-time linter (alt-text-required ESLint rule), CI gate on Lighthouse a11y score.

Source: WCAG 2.1 SC 1.1.1 / WebAIM Million Report

An image inside a link with no alt creates an empty link.

Why this matters

Image-only links with no alt create empty links — screen-reader users hear 'link' with no destination context.

Learn more ▾

An <a><img></a> with no img alt is the worst-case for accessibility: AT announces the link but can't describe where it goes. Either add alt to the image OR add aria-label to the link.

Source: WCAG 2.1 SC 2.4.4

C
Navigation UX
Action
3 navigation pattern(s)
REVIEW
3 navigation pattern(s)
Info::
Search functionality detected
Got: role-search
Info::
Skip navigation link detected
Info::
Back-to-top link detected
Info::
3 navigation landmark(s) detected
Breadcrumbs
Search role='search' landmark
Skip Link Skip link detected
Labeled Navigation 3 <nav> element(s)
Back to Top
Hamburger Menu
Sticky Navigation Cannot reliably detect (CSS-based)
4 of 6 testable patterns navigation patterns detected. Strong navigation UX with multiple discovery paths.
B
Color Contrast (Screenshot)
20 text elements analyzed, 0 fail WCAG AA
REVIEW

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

20 pass 1 pass AA only
Show all checked elements (20)
ElementRatioRequiredFGBGResult
h2 I'm looking for21.00:13.0:1
#000000
#FFFFFF
Pass
h2 Who We Are21.00:13.0:1
#000000
#FFFFFF
Pass
h2 Advisory Committees21.00:13.0:1
#000000
#FFFFFF
Pass
h2 Stay Connected21.00:13.0:1
#000000
#FFFFFF
Pass
h3 Healthy people, heal…21.00:13.0:1
#000000
#FFFFFF
Pass
h3 Featured21.00:13.0:1
#000000
#FFFFFF
Pass
h3 Dietary Guidelines21.00:13.0:1
#000000
#FFFFFF
Pass
h3 Move Your Way® Comm…21.00:13.0:1
#000000
#FFFFFF
Pass
h3 Offices21.00:13.0:1
#000000
#FFFFFF
Pass
h3 Office of Disease Pr…21.00:13.0:1
#000000
#FFFFFF
Pass
h3 Office for Human Res…21.00:13.0:1
#000000
#FFFFFF
Pass
h3 Office of Infectious…21.00:13.0:1
#000000
#FFFFFF
Pass
h3 The Office of Minori…21.00:13.0:1
#000000
#FFFFFF
Pass
h3 The Office of Popula…21.00:13.0:1
#000000
#FFFFFF
Pass
h3 The Office of Resear…21.00:13.0:1
#000000
#FFFFFF
Pass
h3 The Office of the Su…21.00:13.0:1
#000000
#FFFFFF
Pass
h3 The Office on Women'…21.00:13.0:1
#000000
#FFFFFF
Pass
h3 Regional Offices21.00:13.0:1
#000000
#FFFFFF
Pass
title Office of the Assist…18.43:14.5:1
#000000
#F0F0F0
Pass
a Skip to main content6.79:14.5:1
#000000
#9090AF
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
Landmark Structure
33 landmarks
PASS
33 landmarks
Info::
<main> landmark present
Info::
3 <nav> landmark(s) found
Warning::
3 of 3 <nav> elements are unlabeled
Multiple navigations need aria-label to distinguish them for screen readers.
Info::
Skip navigation link present
Info::
Search landmark present
Page Structure — as a screen reader sees it
BANNER header NAV SEARCH MAIN ASIDE CONTENTINFO footer

Multiple navigations need aria-label to distinguish them for screen readers.

Why this matters

Some <nav> elements lack aria-label — screen-reader users hear 'navigation' multiple times with no way to distinguish them.

Learn more ▾

When a page has multiple <nav> regions (primary, footer, breadcrumb), each needs aria-label or aria-labelledby. AT users navigate by landmark; identical 'navigation' announcements force them to enter each one to discover purpose.

Source: WAI-ARIA Authoring Practices

A+
Form Accessibility
All 1 controls labeled
PASS
All 1 controls labeled
Info::
1 control(s) properly labeled
1 controls
1 labeled
0 placeholder only
0 unlabeled
ControlTypeLabelMethod
#extended-search-field-smallsearchextended-search-field-smallfor/id
A
404 Error Page
HTTP 404, custom page
PASS
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
Info::
Search form present on 404 page
404 Page Quality ✓ Custom 404 Page
Status Code HTTP 404 ✓Page Title Lock ✓Custom Styling ✓Navigation ✓Homepage Link ✓Search Form ✓
A+
Lighthouse Accessibility Audits
Score 95/100 — 2 failing, 27 passed
PASS
95

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.

Contrast

Low-contrast text is difficult or impossible for many users to read. Learn how to provide sufficient color contrast.

Why this matters

Performance issues directly impact user engagement and conversion rates.

Failing Elements
Contact Us div > div.grid-row > div.desktop:grid-col-4 > a.usa-link

These are opportunities to improve the legibility of your content.

Navigation

Properly ordered headings that do not skip levels convey the semantic structure of the page, making it easier to navigate and understand when using assistive technologies. Learn more about heading order.

Why this matters

Performance issues directly impact user engagement and conversion rates.

Failing Elements
OASH Postal Address div.grid-row > div.usa-footer__contact-links > div.usa-footer__address > h4.usa-footer__contact-heading

These are opportunities to improve keyboard navigation in your application.

○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
●Buttons have an accessible name
●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.
●`[accesskey]` values are unique
●ARIA attributes are used as specified for the element's role
●`[aria-hidden="true"]` elements do not contain focusable descendents
●Elements use only permitted ARIA attributes
●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.
●Skip links are focusable.
●Document has a main landmark.
●Deprecated ARIA roles were not used
●Image elements do not have `[alt]` attributes that are redundant text.
●Identical links have the same purpose.
●Elements with visible text labels have matching accessible names.
○`button`, `link`, and `menuitem` elements have accessible names
○Elements with `role="dialog"` or `role="alertdialog"` have accessible names.
○ARIA input fields 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
○Links are distinguishable without relying on color.
○The document does not use `<meta http-equiv="refresh">`
○`<object>` elements have alternate text
○Select elements have associated label elements.
○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
○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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