A machine tool includes: a column; a spindle head supported by the column; a spindle in the spindle head; a draw bar moved upward to clamp a tool to the lower end portion of the spindle and moved downward to release the tool therefrom; a biasing portion biasing the draw bar upward; a cam mechanism including a cam in the column and an arm whose one end slides on a cam surface such that the other end pushes down the draw bar; a measurement portion measuring the position of the draw bar; a storage portion storing a position relationship between the spindle head and the draw bar when the cam mechanism is normal; and an abnormality determination portion determining an abnormality in the cam mechanism based on the position of the draw bar measured with the measurement portion and the relationship stored in the storage portion.