Answering this needs to know what you are looking for, because most people inspect vials without a list and therefore see nothing.
Check the aluminium crimp is fully seated with no lift at the edge, the flip-off cap has not been previously removed, and the stopper sits flush without a visible gap or dimple.
Check the fill looks proportionate to the label claim. Ten milligrams of peptide is a small volume of powder, but it is not nothing, and a vial that looks empty is worth a photograph.
Melt-back and collapse are documented lyophilisation cycle defects with well-described visual appearances.
The caveat is that inspection cannot detect identity, purity, content or endotoxin, which are the things most likely to be wrong.
Passing inspection is a weak result. It rules out the obvious and nothing else.