Tephra fallout is a potential hazard to livelihoods, critical infrastructure, and health, even in areas that are far from volcanoes. Therefore, it is important to quantitatively evaluate tephra fall hazards for both residents and infrastructure around hazardous volcanoes. Modern probabilistic volcanic hazard assessments of tephra fallout strongly rely on computer modeling; however, assessments based on isopach maps can also be also helpful in assisting decision-makers. To assess the tephra fall hazards in Japan, we created a digital database “Isopach map-Based Tephra fall Hazard Analysis (IB-THA)” and a tool to draw the cumulative number of tephra fallout events exceeding a specific thickness at a particular location. The database was re-digitized using an existing catalog of 551 tephra fall deposit distribution maps. The re-digitized datasets were utilized here to estimate the cumulative number of tephra fallout events exceeding a specific thickness at 47 prefectural offices for the last 150 kyr. This allowed the characterization of regional tephra fall hazards in Japan for the first time. High cumulative numbers (20) of tephra fall deposits > 0 mm were identified in the NE-E region (e.g., Maebashi), whereas low numbers (2) were recognized in the SW and W regions of Japan (e.g., Naha). The thickest tephra fall deposit (2850 mm) was observed at Kagoshima. We used IB-THA to create a hazard curve for Tokyo. This hazard curve provides the minimum frequency needed to exceed the tephra fall thickness at any location. To refine the digital database presented here, further studies are required to incorporate recent (i.e., 2003 or younger) tephra distributions, review questionable isopach maps, and improve the interpolation method for digitizing tephra fall distributions.