Audit whatever page you have open, inspect any element, and try live accessibility adjustments — directly in a Chromium browser side panel. No login, no history stored, nothing sent to a server.
Publishing to the Chrome Web Store requires a one-time paid developer registration. Loading it unpacked is completely free and gives you the exact same extension — the only difference is Chrome shows a "Developer mode" notice, and you reload it manually after an update instead of it auto-updating.
The extension asks for broad host access (all sites) because it needs to script and screenshot whatever page you have open when you click a button — a side panel stays open across tab switches, so the narrower "only when clicked" permission Chrome offers isn't reliable here. Nothing is read or modified until you explicitly trigger an action from the panel; nothing is sent off your machine.
Re-download the zip, unzip it over the same folder (or a fresh one), then click the refresh icon on the extension's card in chrome://extensions.