Answering this needs to know what you are looking for, because most people inspect vials without a list and therefore see nothing.
Look for fibres, glass fragments and dark particulate in the cake. Glass is the one that matters and is usually a crimping or handling artefact rather than a synthesis one.
Weigh the vial if you have a scale reading to a milligram. It will not give you content, but a vial several tens of milligrams lighter than its siblings is a fill problem.
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.