Errors during manufacture of high value components are not acceptable nowadays in driving industries such as energy and transportation. Sectors such as aerospace, automotive, shipbuilding, nuclear power, large science facilities or wind power manufacture complex and accurate components that demand close measurements and fast feedback into manufacturing processes. New measuring technologies are already available in machine tools, including integrated touch probes and fast interface capabilities. They shall provide the possibility to measure the workpiece during or after the manufacturing process, maintaining the original setup of the workpiece and avoiding the manufacturing process from being interrupted to transport the workpiece to a measuring position. However, the traceability of the measurement process on a machine tool is not ensured yet and measurement data is still not fully reliable for process control or product validation. Due to the similarity between a coordinate measuring machine and a machine tool, some of the methods applied for a correct assessment of uncertainty in coordinate measuring machines are adapted to the challenges of a machine tool. The scientific objective is to determine the uncertainty on a machine tool measurement and, in this way, convert it into a machine integrated traceable measuring process. This paper reviews the fundamentals of machine tool metrology.